Authors (including presenting author) :
SWA Wong (1), PF Kwok (1), HY Wong (1), HT Au (1), YY Chung (1)
Affiliation :
(1) Integrated Continence Service, United Christian Hospital
Introduction :
Introduction: Pelvic floor muscle exercise (PFME) is the first line behavioral therapy for management of urinary & faecal incontinence. Continence nurse plays an importance role on teaching and monitoring the effectiveness & compliance of PFME especially assuring precision of correct exercise performance. However, during an internal audit in 2021-2022, it found that 8.1% (n=15/186) of patients’ PFME performance result was not recorded in the consultation note. Despite 70.3% of the patients (n=104/148) were not doing the exercise properly, none of any further substandard description on the reason(s) of low performance was addressed. In November 2022, in order to minimize this suboptimal condition and facilitate nurses achieving completeness documentation on better patient care, a QR code was designed to assist second speed entering of all essential information with a simple scanning action.
Objectives :
To review QR code assisted nursing documentation on PFME and its’ implication on nursing care To assess the effectiveness and comprehensiveness of documentation by QR code
Methodology :
A QR code contains whole set of standard parameters information required for PFME compliance documentation including the exercise episode, appropriateness and reasons of failure was launched in nurse clinic. By a quick scanning action, nurses could enter the information to consultation note compressively without risks of missing data. 2 years data from February 2023 to November 2024 was retrieved after using the QR code in documentation and outcomes effectiveness was evaluated.
Result & Outcome :
Improve clinical documentation in nurse clinic In 2023, the first year of QR code implementation, the QR code utilization rate on 184 patients who had received PFME education in nurse clinic was 38.6 % (n=71/184). In second year (2024), the utilization rate was increased to 74 % (n=271/366). In 2-year data, 354 out of 550 (64.4%) patients ‘record entry was done by using QR Code with 100 % completion of information had been marked to ensure revision on PFME performance was done by nurses. For the remaining patients without using QR code, 4.1% had missed the entire information on PFME status. Refer to previous findings, one-third of patients’ excise precision was enhanced by reduction of incorrect performance from 70.3% (n=104/148) to 42.1% (n=210/499). For the substandard reason(s) of exercise failure, 57.6% (n=121/210) of patients was being recorded with details of misuse of muscle contraction such as using abdomen (18.2%), holding the breath (26.4%) or both (55.4%). Promising improvement shown on nursing documentation after using
