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A STUDY TO ASSESS THE USE AND COMPLETION OF THE ELECTRONIC KEY INFORMATION SUMMARY (KIS) AT THE POINT OF HOSPITAL ADMISSION FOR PATIENTS AT RISK OF DETERIORATION OR DYING
  1. CC Hall1 and
  2. JA Spiller2
  1. 1Marie Curie Hospice Edinburgh, NHS Lothian
  2. 2Institute for Healthcare Improvement

Abstract

Introduction The electronic Key Information Summary (KIS) is an evolution of the Emergency Care Summary. The KIS contains vital patient information, is accessible to unscheduled/ emergency care services and more recently in secondary care. A KIS is completed by GPs for any patient with complex care needs. Information ranges from a “special note” to a comprehensive electronic Palliative Care Summary. Little is known however about the usefulness and perspectives of hospital clinicians regarding the KIS.

Aim(s) and method(s) Aims: To identify acute medical admissions with a KIS and analyse KIS quality. To identify those at risk of deterioration/ dying (using SPICT™ tool). To ascertain levels of clinician KIS awareness/ access, views on usefulness and suggested improvements. Methods: Retrospective case note analysis/ semi-structured interviews.

Results 24% of all patients had a KIS. Of patients at risk of deterioration or dying, 53% had a KIS. KIS quality was variable. Access to ECS medications (which now includes an ‘abbreviated’ KIS) was high (96%) but only 19% of clinicians had viewed their patient's KIS. Access to a ‘full’ KIS (including Palliative Care fields) was only 4%. 75% of clinicians found the KIS a useful tool.

Conclusion(s) KIS are present for almost 1/4 of medical admissions to secondary care and are deemed useful by the majority of admitting clinicians. Patients at risk of deterioration or dying are more likely to have a KIS, but KIS are not routinely viewed by admitting clinicians. Education regarding the KIS/SPICT™ in hospitals and prompting on admission may improve complex (including palliative) patient management.

  • Supportive care

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