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dc.contributor.authorCarpenter, Kilda J
dc.identifier.citationArmstrong E J, Carpenter K J (November 27, 2022) A Standardized Ward Round Proforma Improves Documentation in a Specialist Stroke Unit. Cureus 14(11): e31931.en
dc.descriptionFreely available onlineen
dc.description.abstractBackground and aim Ward-round documentation is important for clinical communication and patient safety. Standardized checklists have improved ward-round documentation in surgical and medical settings. This quality improvement project aimed to introduce a standardized ward round proforma to improve documentation in a UK specialist stroke unit. Methods Ward round entries were assessed against internally agreed standardized criteria. A stroke-specific ward round proforma was designed and introduced with input from the multidisciplinary team. A repeat audit was performed, including assessment of the use of different proforma sections. Multidisciplinary team members were invited to provide feedback via an anonymous online survey. Results A total of 111 ward round entries were reviewed before the proforma was introduced. Ninety-five ward round entries were reviewed following introduction of the proforma, and 84.2% of these used the proforma for documentation. Overall documentation of standardized criteria improved from 48.7% to 62.1% with substantial improvement seen in documentation of neurological examination, presence/absence of mechanical venous thromboembolism prophylaxis, and blood test results. Multidisciplinary team feedback was positive. Conclusions The stroke-specific ward round proforma improved the quality and consistency of documentation in the unit. An updated proforma was designed using these results and multidisciplinary team feedback.en
dc.subjectCardiovascular Diseasesen
dc.titleA Standardized Ward Round Proforma Improves Documentation in a Specialist Stroke Uniten

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