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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Documentation in the era of electronic medical records – a survey of British Oculoplastic Surgery Society Members

Author: Samantha Hunt
ePoster Number: 265


Purpose

To explore current practices and consultant opinions on electronic medical record systems in oculoplastics.


Methods

All 180 ‘full members’ of the British Oculoplastic Surgery Society were invited to participate in an online survey. Analysis included chi square testing to compare medicolegal involvement with perception of increased medicolegal risk when using electronic medical records.


Results

71 responses were received (39.4% of invitees). 80% reported use of electronic medical records (38% Medisoft), 49% both for outpatient clinics and recording operations. 40/56 (71%) described documenting a complete examination as ‘somewhat’ or ‘very challenging’, 32/54 (56%) find recording important positives or negatives ‘harder’ or ‘much harder’. 59% have been involved in medicolegal aspects of clinical care; 33% have undertaken formal medicolegal training. 57% perceive an increased medicolegal risk with electronic medical records compared with handwritten notes. No statistical association was found between involvement in medicolegal care, or formal training with perception of increased risk. 23% report documenting inadequate clinical information to manage a complaint, 35% citing poor user-friendliness of the systems for this.


Conclusion

Electronic medical records are being increasingly used throughout medicine and may soon become compulsory. Most ophthalmology systems were not originally designed for oculoplastics, which may be contributing to perceptions of poor user-friendliness and difficulty in recording examination findings amongst specialists. 23% of consultants surveyed believe their electronic documentation records would be indefensible in a medicolegal situation. Specialists should work closely with software designers to develop systems tailored to oculoplastic needs that can be delivered safely and effectively within the clinical environment.


Additional Authors

First nameLast nameBase Hospital / Institution
RichardCaesarGloucestershire Hospitals NHS Foundation Trust
RamanMalhotraQueen Victoria Hospital, East Grinstead

Abstract ID: 21-166