172  Quality improvement project on the peri-procedural management of lumbar punctures. Issue 6 (27th May 2022)

• Record Type: Journal Article
• Authors: Mousele, Christina; Gillingham, Alexandra; Mummery, Catherine; Carr, Aisling
• Is Part Of: Journal of neurology, neurosurgery and psychiatry. Volume 93:Issue 6(2022)
• Page Start: A62
• Page End: A62
• Publication Date: 2022-05-27
• Subjects: Neurology -- Periodicals; Nervous system -- Surgery -- Periodicals; Psychiatry -- Periodicals; 616.8
• DOI: 10.1136/jnnp-2022-ABN.201
• Languages: English
• ISSNs: 0022-3050

Abstract

Abstract : Introduction: Cancellation rate of elective lumbar punctures (LPs) due to inappropriate management of antithrombotic medications and lack of adequate training of junior doctors in the peri-procedural man- agement of LPs encouraged us to conduct a quality improvement project aiming to address these issues. Methods: Retrospective review of day case elective LPs (01/10/2018 - 01/01/2019) Junior doctor surveys aiming to assess LP related knowledge and confidence Results: 37.5% (75/200) of the scheduled LPs were cancelled due to mistakes in the pre-procedural man- agement of patients' blood-thinning medication. Junior doctors' knowledge of consent and antithrom- botic management was suboptimal. As was self-reported confidence and competency in independent performance of LPs at CMT/SHO level. Change implemented: Implementation of Trust-approved Guidelines on peri-procedural management of LPs based on systematic review of literature LP training clinic Re-audit.LP cancellation rate fell to 8% after implementation of these measures (15/04/2019 - 15/07/2019) with meaningful improvement in LP knowledge/confidence of junior doctors. [e-mail]