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ADHD management and disability register: an electronic aid for the nice guideline implementation
  1. M O Ogundele1,
  2. H F Ayyash2,
  3. S Banerjee3
  1. 1Community Paediatrics, Alder Hey Children's NHS Foundation Trust, Liverpool, UK
  2. 2Paediatrics, Doncaster and Bassetlaw NHS Foundation Trust, Doncaster, UK
  3. 3Community Paediatrics, East Kent Hospitals University NHS Foundation Trust, Kent, UK

Abstract

Aim We designed an electronic software that will assist a wide range of healthcare professionals to implement the major aspects of the National Institute of Clinical Excellence (NICE) guidelines both within the primary care and hospital settings in the management of ADHD in children/adolescents.

Methods The software is based on Microsoft windows application and it provides information about important components of the NICE ADHD guideline including diagnosis, differential diagnosis, psychosocial, pharmacological and non-pharmacological treatment of ADHD and transition planning to adult ADHD services. Data recorded for each patient includes a unique number, name, address, date of birth, gender, family doctor, school, school doctor/nurse, co-morbidities, and list of medications and dates of renewed prescriptions. The database application was piloted in a regional tertiary community hospital department.

Results The software also incorporates a specialist database for patients with ADHD with the ability to support service planning, monitoring and evaluation; facilitating epidemiological research (figure 1). It offers facilities for auditing patients' records with analysis according to post code, city of residence, current medications and types of co-morbidities. The database supports clinical care of each patient by recording the profile of their difficulties including co-morbidities. It supports service planning by providing reports on patients according to location, current medications and prescribers. It improves service provision by tracking the documentation of renewed prescriptions for each patient. 100% of the medical secretaries described the software as either ‘easy’ or ‘very easy’ to use and ‘useful’ or ‘very useful’ (6/6). The medical staff also expressed similarly high level of satisfaction with the software application.

Abstract G39 Figure 1

Showing one of the screenviews of the database application.

Conclusion The ADHD software should be an important part of a comprehensive ADHD service. It aids implementation of various aspects of the recent ADHD clinical guideline and incorporates a specialist database for patients with ADHD. The software supports service planning, monitoring and evaluation; facilitating epidemiological research; clinical audit and planning of individual patient care.

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