Referral-to-Treatment for Surgical Carpal Tunnel ... - 18 Weeks

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Musculoskeletal Audit (MSk) - Carpal Tunnel Surgery Of those that were sent for further review or Nerve Conduction Studies only 55% were reviewed within 15 weeks (Fig. 9). Fig. 9: Length of time from Outpatient Appointment to Diagnostics/Review Percentage of patients 100 80 60 40 20 0 Wishaw GRI/Stobhill DGRI/Garrick QMH/Victoria Elgin Borders Ninewells/Stra RAH/VOL ARI/Woodend Perth Monklands Hairmyres St Johns/RIE Raigmore IRH/Dunoon Forth Valley All patients 15 weeks Missing data Time is from OPA to first review OPA, or to date of NCS if patient was reviewed by phone/letter. Excludes patients who had neither NCS nor a further review - - 10
Musculoskeletal Audit (MSk) - Carpal Tunnel Surgery Fig. 10 clearly shows that there is a considerable delay associated with Nerve Conduction Studies. Fig. 10: Median time from OPA to Review in relation to whether NCS were carried out and review method Median time (weeks) to review 80 70 60 50 40 30 20 10 0 Wishaw GRI/Stobhill DGRI/Garrick QMH/Victoria Elgin Borders Ninewells/Stra RAH/VOL ARI/Woodend Perth Monklands Hairmyres St Johns/RIE Raigmore IRH/Dunoon Forth Valley All patients No NCS, but further review OPA NCS, reviewed by phone/letter NCS, reviewed by further OPA Time is to first review or to date of NCS if reviewed by phone/letter. For some hospitals there were fewer than three patients in one or more categories in Fig. 10, so data is not shown If a further review appointment was made, 85% of patients with known planned review dates were reviewed on that date. 55 (15%) patients who attended later attended a mean of 6 weeks later. Most delays were due to patients who cancelled or Did Not Attend, but 14 patients were cancelled by the clinics. Thirteen per cent of all patients had more than one review clinic (27% of all patients who had diagnostics and/or subsequent review). Of the 88 patients known to have two reviews, mean time between reviews was 16 weeks (median 13 weeks). 50 patients had more than two reviews and a mean time of 38 weeks between first and last reviews (median 32 weeks). Although Fig. 10 shows that the time from OPA to review is shorter when Nerve Conduction results are given by telephone or sent out by letter, many clinicians prefer to review their patients in the clinic to fully discuss the findings of the NCS report. - - 11
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Page 9: C) Time from Outpatient Appointment

Referral-to-Treatment for Surgical Carpal Tunnel ... - 18 Weeks

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