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SNOT Audit January 2014

SNOT Audit January 2014 . Aim. To assess the effectiveness of medical or surgical treatment in patients with sino -nasal disease who present to ENT outpatient clinics. Method. Forms collected between 1st September 2013 - 24th December 2013 (some forms were dated outwith these periods)

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SNOT Audit January 2014

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  1. SNOT AuditJanuary 2014

  2. Aim To assess the effectiveness of medical or surgical treatment in patients with sino-nasal disease who present to ENT outpatient clinics

  3. Method • Forms collected between 1st September 2013 - 24th December 2013 (some forms were dated outwith these periods) • Patients complete SNOT questionnaire prior to consultation • Consultant completes clinical information on form • Data from forms recorded on an Excel spreadsheet • Paper copies filed alphabetically for each consultant • Incomplete forms filed separately • Sources of SNOT scores for the audit were: • SNOT forms collected in this audit cycle • Previously filed forms • SCI-store letters

  4. What is the SNOT Questionnaire? • A patient-reported measure of outcome in treatment of sino-nasal disorders • The SNOT questionnaire contains 20 questions • The first half of the questionnaire relates to physical symptoms – nasal, ear, and facial symptoms • The second half relates to quality of life (sleep and psychological issues) http://www.entnet.org/research/outcomes/browne%202007.pdf health related quality of life

  5. Results • 404 forms returned • 126 forms were able to be used in the audit (criteria for inclusion: Name, CHI, diagnosis, treatment, pre/post, and at least one SNOT score) • 278 forms excluded from this audit cycle: • Only pre-treatment score available at present (166) • Discharged after 1st appointment (8) • DNA 2nd appointment (3) • Non sino-nasal disease (2) • Only post-treatment score available (31) • Forms missing name, diagnosis or treatment (68)

  6. Surgeon A

  7. Surgeon B

  8. Surgeon C

  9. Results

  10. What Went Wrong? • SNOT forms still not being completed fully • 31 post-treatment SNOT forms did not have a pre-treatment form/score recorded on the form, available from the previously filed forms, or on SCI-store • There is not a reliable way to hand over the audit data to the next group of doctors

  11. Suggestions For Improvement • SNOT scores could be recorded in the patient notes at clinic appointments, enabling them to be easily located at the next appointment, and so written on the next SNOT form • If SNOT scores were recorded in all dictated letters, this would provide an easily accessible record of the score should the SNOT form not be fully completed in clinic

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