Journal of Clinical and Experimental Ophthalmology
Open Access
ISSN: 2155-9570
ISSN: 2155-9570
Erwin Chung Chen Tse Sak Kwun and Robert Taylor
York Teaching Hospital Foundation Trust, UK
Posters & Accepted Abstracts: J Clin Exp Ophthalmol
Introduction: Premature babies are at risk of sight-threatening, retinopathy of prematurity (ROP). If untreated, severe ROP can result in serious vision impairment. The goal of screening is to identify the more severe stages early enough to allow appropriate intervention. Aim: To measure adherence on completeness of ROP screening program and timing of first screening in premature babies admitted on special care baby unit. Methods: We extracted the bulk of our information from BadgerNet, a platform designed for the recording of all daily events within the unit. 84 babies admitted to the unit during between 01/03/14 to 29/02/16 eligible for ROP screening were identified on BadgerNet. Hospital case notes of babies who were recorded as late for their ROP screening were requested. Results: 1. % of babies <32 weeks GA or <1501g birthweight who receive at least one ROP eye examination - achieved 100% 2. % of babies < 27 weeks GA receiving a first ROP screening exam by 31 completed weeks postmenstrual age- achieved 91% 3. % of babies 27 ��?32 weeks receiving a first ROP screening exam before 4 completed weeks postnatal age- standard 95% - achieved 94% 4. % of babies >32 weeks but <1501g birthweight receiving a first ROP screening exam before 5 completed weeks postnatal age - achieved 100% Conclusion: There is a need for more efficient and effective recording of ROP screening test for eligible babies to achieve improvement in compliance with the guidance. Implementation of a sticker system on cover of patients��? notes to prompt nursing staffs and clinicians to document ROP screening in case notes and to ensure screening is arranged on time. Ophthalmologists to access badger for recording of ROP screening in real time to avoid existing lag between recording and actual screening.
Email: erwin.tse@doctors.org.uk