ePoster listing and sessions

Topic: ESOPRS 2021 ePoster sessions
Time: Sep 17, 2021 16:00 Amsterdam, Berlin, Rome, Stockholm, Vienna, 15:00 London

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Pap that Papilloma – Introducing a Novel Smartphone Photography Service within the Oculoplastics Clinic

Author: Caroline Kilduff
ePoster Number: 255


Purpose

• To introduce a routine smartphone photography service within outpatient clinics
• To evaluate the impact on patient experience
• To evaluate adequacy of smartphone photographs for clinical decision-making


Methods

A smartphone photography service was introduced and iterated via regular MDT meetings. Photographs were taken within IG-approved Pando app. Healthcare Assistants were trained to take photographs of lesions using the Quikvue smartphone magnification attachment. Doctors took all other photographs with the smartphone mounted to the slit-lamp. Images were exported to an affiliated clinic NHS.net account and were uploaded to the patient record twice weekly.

16 patients underwent both smartphone and formal photography. Time and motion studies were performed. The two sets of images were reviewed by two independent consultants, the quality was graded, and management plans were established and compared. A further 25 patients provided feedback.


Results

88% of smartphone photographs were considered suitable for clinical monitoring. Management plans were consistent in 91% of cases. Smartphone photography was improved in response to these results.
100% patients felt photographs were comfortable and important in both documenting and monitoring lesions. Only 5% preferred attending medical imaging department.
On average, smartphone photographs took 1 minute 21, compared to 43 minutes attending medical imaging. Additionally, reducing contact with 2 further staff, 2 further hospital rooms and 2 floors.


Conclusion

Photographs are gold standard for documentation because they capture detail most accurately representing the examination. Traditionally, photography occurs in medical imaging. Limited appointments mean often clinicians rely on illustrations to document compare clinical progress; a source of medical error and lacking key detail. Attending formal imaging interrupts clinic flow and creates delays detrimentally effecting patient experience.
This service provides a reproducible, scalable, and adaptable solution to improve documentation, monitoring and patient experience.


Additional Authors

First nameLast nameBase Hospital / Institution
MiraDeshmukhMoorfields Eye Hospital
JessicaNeeceMoorfields Eye Hospital
PeterThomasMoorfields Eye Hospital
DawnSimMoorfields Eye Hospital
ClaireLovegroveMoorfields Eye Hospital
CarlNichollsMoorfields Eye Hospital
HannahTimlinMoorfields Eye Hospital

Abstract ID: 21-152