Improving COPD Diagnosis Accuracy for Better Patient Care

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Enhance COPD diagnosis accuracy for patients on the register through a quality improvement project focused on ensuring correct evidence and diagnosis support. Steps include reviewing patient information and spirometry data to identify and address any discrepancies.

  • COPD
  • Diagnosis
  • Quality Improvement
  • Patient Care
  • Spirometry

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  1. QI Project G e t t i n g t h e d i a g n o s i s r i g h t f o r p a t i e n t s o n t h e C O P D re g i s t e r [ y o u r n a m e ]

  2. Quality Improvement with ICST Allowing you to achieve incremental and measurable changes to make a real difference to patients

  3. WHAT IS THE PROBLEM? Data collected from GP practices across Wales suggest that only 11.5% patients on the COPD registers have evidence of both: Post-bronchodilator spirometry with FEV1/FVC ratio less than 0.7 AND the correct SNOMED code and therefore this QI project will ensure that every patient has the correct evidence to support their diagnosis of COPD.

  4. The QI project fixing the COPD register Step 1 Identify your COPD register Identify every patient on your COPD register. Step 2 Sort your patients Sort your COPD patients by those who have the correct code for post-bronchodilator spirometry. Step 3 Check the ratio Check the patient has the correct FEV1/FVC ratio recorded. Step 4 Check the diagnosis If the FEV1/FVC ratio is greater than 0.7, remove the patient from your COPD register and invite the patient in for a review of their diagnosis Step 5 Check for a record of spirometry For those patients who DO NOT have the correct for post-bronchodilator spirometry, check whether they have ANY record of spirometry. Step 6 No record of spirometry Where there is no evidence of post-bronchodilator spirometry, ensure this patient is invited to perform post-bronchodilator spirometry in their next consultation.

  5. I propose As a practice, we have 350 patients with COPD on our register. I propose we review the diagnosis of 100 of these patients before July 2021. Each patient review will take 10 minutes.

  6. ANY QUESTIONS? G e t t i n g t h e d i a g n o s i s r i g h t f o r p a t i e n t s o n t h e CO P D re g i s t e r [ y o u r n a m e ]

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