Queen Margaret Hospital, Dunfermline, UK.
Eye (Lond). 2011 Nov;25(11):1471-7. doi: 10.1038/eye.2011.203. Epub 2011 Aug 26.
To determine current knowledge and opinion on revalidation, and methods of cataract surgery audit in Scotland and to outline the current and future possibilities for electronic cataract surgery audit.
In 2010 we conducted a prospective, cross-sectional, Scottish-wide survey on revalidation knowledge and opinion, and cataract audit practice among all senior NHS ophthalmologists. Results were anonymised and recorded manually for analysis.
In all, 61% of the ophthalmologists surveyed took part. Only 33% felt ready to take part in revalidation, whereas 76% felt they did not have adequate information about the process. Also, 71% did not feel revalidation would improve patient care, but 85% agreed that cataract surgery audit is essential for ophthalmic practice. In addition, 91% audit their cataract outcomes; 52% do so continuously. Further, 63% audit their subspecialist surgical results. Only 25% audit their cataract surgery practice electronically, and only 12% collect clinical data using a hospital PAS system. Funding and system incompatibility were the main reasons cited for the lack of electronic audit setup. Currently, eight separate hospital IT patient administration systems are used across 14 health boards in Scotland.
Revalidation is set to commence in 2012. The Royal College of Ophthalmologists will use cataract outcome audit as a tool to ensure surgical competency for the process. Retrospective manual auditing of cataract outcome is time consuming, and can be avoided with an electronic system. Scottish ophthalmologists view revalidation with scepticism and appear to have inadequate knowledge of the process. However, they strongly agree with the concept of cataract surgery audit. The existing and future electronic applications that may support surgical audit are commercial electronic records, web-based applications, centrally funded software applications, and robust NHS connections between community and hospital.
确定苏格兰对再认证的现有认知和意见，以及白内障手术审核方法，并概述电子白内障手术审核的当前和未来可能性。
2010 年，我们对苏格兰所有高级 NHSE 眼科医生进行了一项前瞻性、横断面、全苏格兰范围的再认证知识和意见以及白内障审核实践的调查。结果进行了匿名处理并手动记录以进行分析。
共有 61%的眼科医生参与了调查。只有 33%的人认为自己已经准备好参与再认证，而 76%的人认为他们对该过程没有足够的信息。此外，71%的人认为再认证不会改善患者护理，但 85%的人同意白内障手术审核对眼科实践至关重要。此外，91%的人审核他们的白内障手术结果；52%的人持续进行审核。此外，63%的人审核他们的专业手术结果。只有 25%的人以电子方式审核他们的白内障手术实践，只有 12%的人使用医院 PAS 系统收集临床数据。缺乏电子审核设置的主要原因是资金和系统不兼容。目前，苏格兰 14 个卫生委员会使用了 8 个独立的医院 IT 患者管理系统。
再认证将于 2012 年开始。皇家眼科医学院将使用白内障手术结果审核作为一种工具，以确保该过程的手术能力。对白内障手术结果进行回顾性手动审核既费时又费力，通过电子系统可以避免。苏格兰眼科医生对再认证持怀疑态度，对该过程的了解似乎不足。然而，他们强烈认同白内障手术审核的概念。支持手术审核的现有和未来电子应用程序可能是商业电子记录、基于网络的应用程序、中央资助的软件应用程序以及社区和医院之间稳健的 NHS 连接。
