Amgad Elmadani
Kettering General Hospital NHS Trust, United KingdomPresentation Title:
Improving ureteric stent documentation through implementation of the online stent database system: An audit and re-audit against BAUS standards
Abstract
Background: Accurate documentation of ureteric stent insertions is essential to prevent forgotten stents and related morbidity. The British Association of Urological Surgeons (BAUS) recommends that all stent insertions be recorded in a dedicated, auditable register containing insertion details, indication, laterality, operator, and plan for removal. Historically, stent documentation in our department relied on a paper-based stent book, which was prone to omissions and incomplete entries. A new online stent database system was introduced on 20 March 2024 to improve accuracy and accessibility.
Methods: The initial audit compared documentation of stent insertions before and after introduction of the electronic database. Data were collected from theatre records, operative notes, and the online database for cases performed between 20 January and 20 May 2024. A re-audit was subsequently conducted one year later, assessing all ureteric stents inserted between 20 March and 19 April 2025. Compliance with BAUS documentation standards was measured, and results were compared between cycles.
Results: In the first audit, 124 patients underwent ureteric stent insertion. Documentation completeness was equal at 97.1% (on paper stent book) and 97.1% (for electronic database) immediately after implementation. This was due to human errors and lack of awareness about the database by some staff. The re-audit demonstrated improvement, with 34 patients (100%) having complete entries recorded in the online system. All required fields were completed, and no stent insertions were missed. This improvement followed staff training sessions and the introduction of reminder posters in all urology theatres.
Conclusion: The implementation of a BAUS-recommended online stent database significantly enhanced the accuracy and completeness of ureteric stent documentation. Sustained 100% compliance demonstrates successful adoption, improved patient safety, and the effectiveness of ongoing education and monitoring. Continuous re-auditing will ensure long-term adherence to BAUS standards.
Methods: The initial audit compared documentation of stent insertions before and after introduction of the electronic database. Data were collected from theatre records, operative notes, and the online database for cases performed between 20 January and 20 May 2024. A re-audit was subsequently conducted one year later, assessing all ureteric stents inserted between 20 March and 19 April 2025. Compliance with BAUS documentation standards was measured, and results were compared between cycles.
Results: In the first audit, 124 patients underwent ureteric stent insertion. Documentation completeness was equal at 97.1% (on paper stent book) and 97.1% (for electronic database) immediately after implementation. This was due to human errors and lack of awareness about the database by some staff. The re-audit demonstrated improvement, with 34 patients (100%) having complete entries recorded in the online system. All required fields were completed, and no stent insertions were missed. This improvement followed staff training sessions and the introduction of reminder posters in all urology theatres.
Conclusion: The implementation of a BAUS-recommended online stent database significantly enhanced the accuracy and completeness of ureteric stent documentation. Sustained 100% compliance demonstrates successful adoption, improved patient safety, and the effectiveness of ongoing education and monitoring. Continuous re-auditing will ensure long-term adherence to BAUS standards.
Biography
Amgad Elmadani, MBBS, MRCS, is a Urology Registrar at Kettering General Hospital NHS Foundation Trust, United Kingdom. He obtained his medical degree from the University of Khartoum and has developed a keen interest in uro-oncology, endourology, and academic research. He has authored peer-reviewed case reports and reviews, with recent publications in the Cureus Journal of Medical Science, focusing on rare urological malignancies, such as malignant mesothelioma of the tunica vaginalis. He is actively involved in quality improvement projects, teaching, and surgical training, and is currently preparing for higher speciality (ST3) urology training. His research interests include minimally invasive urological techniques, testicular pathology, and clinical outcome optimization in urological oncology. He also contributed to clinical audit projects within his department that helped to improve the documentation of ureteric stent insertion.
Organization Location
1309 Coffeen Avenue, STE 1200, Sheridan, Wyoming 82801, USA
Mail us at
Drop us an email for Program enquiry
healthcare@scientexconferences.com
General Queries
contact@scientexconferences.com
Registration query
finance@scientexconferences.com
globalhealthcare@scientexevents.com
Our Social Presence
Call us at
USA :+1 510 370 1934