Eye Emergency Manual - Smart Phone App

Aim

To provide a quick and simple guide to recognizing important signs and symptoms and management of common eye emergencies for medical and nursing staff in Emergency Departments (EDs)

Benefits

This initiative has provided easy access to highly graphical overview of signs, symptoms and management of common eye emergencies.

Summary

Background

Phase 1 (2005/2006): Development of consensus clinical guidelines

Phase 2 (2007): Publication of guidelines in a structured format with high graphical content. Distributed to EDs statewide in hard copy and electronically.

Phase 3 (2007/2008): Guideline introduction into 26 EDs to evaluate their use. Ophthalmologists were surveyed about the quality of referral.

Trends in the documentation of specific aspects of the history, examination and management of all types of eye emergencies presenting in ED were measured. Four medical record audits were undertaken using documentation as a surrogate for patient care. Data were analyzed with the chi-square test and a p value < 0.05 was considered to be significant.

Phase 3 changes led to:

  • Statistically significant improvement in documentation of aspects of history and examination in the ophthalmic workup
  • Emergency clinician involvement in guideline revision for the second edition (2009).

A Forum held for participating EDs provided feedback about:

  • Increased confidence to treat eyes, use and purchase equipment
  • Appreciation of education provided
  • Improved patient flow and eye room set up
  • Inclusion of eye assessment in the electronic medical record

Phase 4 (2007/2008): Ophthalmic nurses developed education modules to be delivered during one day workshops and available on CD and the ACI website. Phase 3 and 4 ran in parallel and resulted in multidisciplinary education for Phase 3 participating EDs

Phase 5 (2012): Surveyed JMOs identified the preference for the guidelines to be distributed as an ‘app’ for smart phones and tablets. 

Partnerships

  • The NSW Faculty of the Australasian College of Emergency Medicine (ACEM)
  • The Australian College of Emergency Nursing (ACEN)
  • The Royal Australian and New Zealand College of Ophthalmologists (RANZCO)
  • Save Sight Institute, University of Sydney

Key Dates

Pilot Sites

Implementation Sites

Evaluation

Apple and Android usage statistics – worldwide usage identified.

Related Initiatives

  • Eye Emergency Clinician Education project
  • Eye Emergency Clinician Introduction and Evaluation Project

Contact

Sarah-Jane Waller
Ophthalmology Network Manager
sarahjane.waller@health.nsw.gov.au
02 9464 4645

Donald MacLellan
Director, Surgery, Anaesthesia and Critical Care
donald.maclellan@health.nsw.gov.au
02 9464 4604

Page Top | Added: 2 June 2014 | Last modified: 2 June 2014

ACI
Status:
Contact:
Sarah-Jane Waller
Ophthalmology Network Manager
Email
02 9464 4645
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