EP.TU.371The introduction of standardised ward round notes in the Acute Surgical Unit. (28th October 2021)

• Record Type: Journal Article
• Authors: Johns, Jonathan; Rahman, Atiqur; Pearson, Katherine; Howse, Frances; Berry, David
• Is Part Of: British journal of surgery. Volume 108:Supplement 7(2021)
• Publication Date: 2021-10-28
• Subjects: Surgery -- Periodicals; 617.005
• DOI: 10.1093/bjs/znab311.048
• Languages: English
• ISSNs: 0007-1323

Abstract

Abstract: Introduction: A standardised approach to note-keeping has been shown to improve patient care and experience. Aims: This repeated audit cycle assesses the compliance with the introduction of a standardised proforma. Method: Data collection was prospective. Round 1 (n = 83) after introduction of a ward round proforma, Round 2 (n = 94) following result analysis / education, Round 3 (n = 62) following proforma changes. Results: (% Compliance with proforma) Conclusions: Some improvements were seen in Round 2. A notable improvement was observed in EDD and CFD when a tick box option was implemented in Round 3. Successful implementation of a standardised note-keeping requires repeated analysis, education and modification of the proforma.