Corneal foreign body management in an A&E department

Abstract

Purpose

The aim of this audit was to assess the effect of guidelines on the management of corneal foreign bodies by accident & emergency staff.

Design/methodology/approach

A prospective case note review was performed to assess local practice in the management of corneal foreign bodies. Changes in practice included the production of a guideline using locally‐agreed standards. The audit loop was continued by a further prospective case note review.

Findings

A total of 101 records were audited over a two‐month period. Prior to changes in practice, the department performed well in two criteria. Introduction of the guideline resulted in improvement in the majority of criteria.

Originality/value

Corneal foreign bodies commonly present to accident and emergency departments. Inadequate experience and training may lead to reduced clinical outcomes, with unnecessary referral or follow‐up. This audit highlights the difficulties in providing good clinical care in the management of CFBs and shows its effectiveness as a tool for improving clinical practice.

Citation

Feizerfan, A., Winchester, S., Maryosh, J. and Liyanage, S.E. (2010), "Corneal foreign body management in an A&E department", Clinical Governance: An International Journal, Vol. 15 No. 4, pp. 266-271. https://doi.org/10.1108/14777271011084028