EP.TU.571Is the pen mightier than the scalpel? Improving the quality and efficiency of Major Trauma ward rounds. (28th October 2021)

• Record Type: Journal Article
• Authors: Patton, Ethlinn; Olaleye, Dapo; Smith, Stella
• 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/znab311.077
• Languages: English
• ISSNs: 0007-1323

Abstract

Abstract: Aims: To ensure optimal patient care on the Major Trauma ward by establishing consistency of ward round contents. To improve efficiency of ward rounds through use of a sticker proforma which details essential clinical variables to be addressed daily. To improve quality and clarity of documentation through use of a ward round sticker, using feedback from the multidisciplinary team to inform subsequent versions. Methods: Data was collected retrospectively between October to December 2020. Patient paper notes were reviewed on three dates before and after implementation of the ward round sticker, gathering data from 26 and 27 patients respectively. Data was collected across a series of weeks to ensure a variety of clinicians present on ward round, in order to accurately reflect current practice. Results: An improvement in rate of documentation was seen in 10 out of 12 key clinical variables. Some of the largest increases were seen in consideration of VTE status; 96.3% (n = 26) from 7.69% (n = 2), and recording oral intake; 85.2% (n = 23) from 23.1% (n = 6.) Conclusions: We know that poor quality documentation is associated with increased rates of adverse events for patients, [1] so it is imperative to address both what is being covered, and how it is being recorded. Staff reported that the use of ward round stickers improved legibility of documentation and made it easier to locate important information. This simple, cost effective intervention has improved the consistency of daily reviews, and streamlined communication within the multidisciplinary team.