512 - Intra-oral and cutaneous lesions; Audit of procedure booked vs procedure performed.
Presented by: Charlotte Fleming
Glan Clwyd Hospital
INTRODUCTION During the COVID-19 pandemic, many practices within healthcare have had to adapt. There has been a shift towards telephone rather than face-to-face consultations to minimise patient contact. This audit project was undertaken to assess the effectiveness of treating skin and intra-oral lesions referred to the OMFS department. Frequently during the pandemic, patients were booked directly for MOPS (minor operative procedures) clinic following telephone consultation only. This was beneficial for reducing patient contact, but I wanted to assess the impact this may have had on treatment, and if appointment slots were being used as planned. Aims: to investigate whether the procedures performed differed from planned procedures, and assess the impact of factors in the referral process including; referral source, if photograph was attached, initial mode of consultation, and waiting times. Factors impacting treatment outcome could subsequently be discussed at clinical governance meeting and improvements made. METHODOLOGY Prospective data collection of all patients who attended the MOPS clinic in the outpatient department in November 2020, referred with a skin or intra-oral lesion. One data collection sheet used per lesion, recorded by surgeon or DCT. Total sample size was 71 lesions over a one month period. RESULTS/CONCLUSIONS 79% of the lesions recorded had no deviation from planned treatment. 21% did not have the planned procedure performed at the MOPS appointment; the most common reason for this was improved appearance or resolved lesion. The main factor found to change treatment plan at MOPS appointment was having no photograph attached to referral (increasing changes to procedure planned twofold). Ensuring good quality photographs were seen prior to booking patient could easily improve this. We also found that type of lesion (most commonly suspected BCC) and increased waiting time from referral to procedure booking had an impact on procedure performed.
Consent Statement: There are no details on individual patients reported within the abstract.