Clinical audit of POM-V / POM prescriptions by remote consultation via a veterinary video telemedicine smartphone application
There is an erratum to this paper published in Veterinary Evidence Vol 7, Issue 2 (2022): 10.18849/VE.V7I2.627 Objective: To assess outcomes of a limited period (7 months) of remote video consultation with prescribing of prescription-only (POM) or prescription-only-veterinary (POM-V) medications...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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RCVS Knowledge
2022-06-01
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| Series: | Veterinary Evidence |
| Subjects: | |
| Online Access: | https://veterinaryevidence.org/index.php/ve/article/view/553 |
| _version_ | 1797853316180344832 |
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| author | Sheila Mary Smith Tamsin Day Samantha Georgina Webster Sam Davies Trevor Peter Hardcastle Adele Williams |
| author_facet | Sheila Mary Smith Tamsin Day Samantha Georgina Webster Sam Davies Trevor Peter Hardcastle Adele Williams |
| author_sort | Sheila Mary Smith |
| collection | DOAJ |
| description | There is an erratum to this paper published in Veterinary Evidence Vol 7, Issue 2 (2022): 10.18849/VE.V7I2.627
Objective: To assess outcomes of a limited period (7 months) of remote video consultation with prescribing of prescription-only (POM) or prescription-only-veterinary (POM-V) medications by Royal College of Veterinary Surgeons (RCVS) registered veterinary surgeons to UK clients via a veterinary telemedicine smartphone application.
Background: Objective evidence is needed to inform the veterinary profession on the impact that remote prescribing, without physical examination in person, has on animal health and welfare. During the COVID-19 pandemic, the RCVS allowed remote prescribing temporarily.
Methods: Clinical records from all veterinary video consultations from 1 April–31 October 2020 were reviewed. Details were assessed pertaining to: signalment, body system / disease categories managed, referrals into practice, medication classes prescribed and outcomes following POM-V / POM medications. Records of adverse events and antimicrobial prescribing were reviewed.
Results: 16.6% (3,541/21,383) of video consults had a POM-V / POM prescribed; with a (mild) adverse event rate of 0.8% (30/3541). Antibacterials were prescribed in 5.88% of all consultations (1,258/21,383), 99.3% (1249/1258) being first line. Follow-up on prescribing was available in 67.7% (2,399/3541) of cases. 89% (2135/2399) of all known treatment outcomes were complete or had an expected response to treatment. Dermatological disease was the most common body system / disease category seen and prescribed for.
Conclusion: Low prescribing rates (including antibacterials) were recorded, treatments were efficacious and no harm was done by prescribing remotely via a veterinary video consult app.
Application: Veterinary surgeons and governing bodies are invited to use the information provided in this clinical audit to inform decisions on the suitability of remote consultations and prescribing in veterinary medicine. |
| first_indexed | 2024-04-09T19:48:38Z |
| format | Article |
| id | doaj.art-59867f5db3be4265bbfadd17933d9c33 |
| institution | Directory Open Access Journal |
| issn | 2396-9776 |
| language | English |
| last_indexed | 2024-04-09T19:48:38Z |
| publishDate | 2022-06-01 |
| publisher | RCVS Knowledge |
| record_format | Article |
| series | Veterinary Evidence |
| spelling | doaj.art-59867f5db3be4265bbfadd17933d9c332023-04-03T11:04:05ZengRCVS KnowledgeVeterinary Evidence2396-97762022-06-017210.18849/ve.v7i2.553403Clinical audit of POM-V / POM prescriptions by remote consultation via a veterinary video telemedicine smartphone applicationSheila Mary Smith0https://orcid.org/0000-0001-5299-4201Tamsin Day1https://orcid.org/0000-0002-7436-6959Samantha Georgina Webster2https://orcid.org/0000-0002-9185-3898Sam Davies3https://orcid.org/0000-0003-4797-0381Trevor Peter Hardcastle4https://orcid.org/0000-0001-8967-7744Adele Williams5https://orcid.org/0000-0003-4351-1946Vet-AIVet-AIVet-AIVet-AIVet-AIVet-AIThere is an erratum to this paper published in Veterinary Evidence Vol 7, Issue 2 (2022): 10.18849/VE.V7I2.627 Objective: To assess outcomes of a limited period (7 months) of remote video consultation with prescribing of prescription-only (POM) or prescription-only-veterinary (POM-V) medications by Royal College of Veterinary Surgeons (RCVS) registered veterinary surgeons to UK clients via a veterinary telemedicine smartphone application. Background: Objective evidence is needed to inform the veterinary profession on the impact that remote prescribing, without physical examination in person, has on animal health and welfare. During the COVID-19 pandemic, the RCVS allowed remote prescribing temporarily. Methods: Clinical records from all veterinary video consultations from 1 April–31 October 2020 were reviewed. Details were assessed pertaining to: signalment, body system / disease categories managed, referrals into practice, medication classes prescribed and outcomes following POM-V / POM medications. Records of adverse events and antimicrobial prescribing were reviewed. Results: 16.6% (3,541/21,383) of video consults had a POM-V / POM prescribed; with a (mild) adverse event rate of 0.8% (30/3541). Antibacterials were prescribed in 5.88% of all consultations (1,258/21,383), 99.3% (1249/1258) being first line. Follow-up on prescribing was available in 67.7% (2,399/3541) of cases. 89% (2135/2399) of all known treatment outcomes were complete or had an expected response to treatment. Dermatological disease was the most common body system / disease category seen and prescribed for. Conclusion: Low prescribing rates (including antibacterials) were recorded, treatments were efficacious and no harm was done by prescribing remotely via a veterinary video consult app. Application: Veterinary surgeons and governing bodies are invited to use the information provided in this clinical audit to inform decisions on the suitability of remote consultations and prescribing in veterinary medicine.https://veterinaryevidence.org/index.php/ve/article/view/553veterinary telemedicineremote prescribingpom-vprescription only medicinevideo consultationclinical auditantimicrobial stewardshipadverse eventsveterinary remote consultationveterinary app |
| spellingShingle | Sheila Mary Smith Tamsin Day Samantha Georgina Webster Sam Davies Trevor Peter Hardcastle Adele Williams Clinical audit of POM-V / POM prescriptions by remote consultation via a veterinary video telemedicine smartphone application Veterinary Evidence veterinary telemedicine remote prescribing pom-v prescription only medicine video consultation clinical audit antimicrobial stewardship adverse events veterinary remote consultation veterinary app |
| title | Clinical audit of POM-V / POM prescriptions by remote consultation via a veterinary video telemedicine smartphone application |
| title_full | Clinical audit of POM-V / POM prescriptions by remote consultation via a veterinary video telemedicine smartphone application |
| title_fullStr | Clinical audit of POM-V / POM prescriptions by remote consultation via a veterinary video telemedicine smartphone application |
| title_full_unstemmed | Clinical audit of POM-V / POM prescriptions by remote consultation via a veterinary video telemedicine smartphone application |
| title_short | Clinical audit of POM-V / POM prescriptions by remote consultation via a veterinary video telemedicine smartphone application |
| title_sort | clinical audit of pom v pom prescriptions by remote consultation via a veterinary video telemedicine smartphone application |
| topic | veterinary telemedicine remote prescribing pom-v prescription only medicine video consultation clinical audit antimicrobial stewardship adverse events veterinary remote consultation veterinary app |
| url | https://veterinaryevidence.org/index.php/ve/article/view/553 |
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