1078 Assessing the Compliance & Adherence to the Emergency General Surgery Admission Proforma via ‘Take 10’ Principles - a Complete Clinical AuditM A B Akhtar, M Varzgalis
To assess the adherence and compliance to the emergency general surgery admission proforma, based on the ‘Take 10’ principles which includeObservationsExaminationsImpressionInvestigationsAntibioticsIV FluidsVTE RiskNutritional AssessmentEstimated Length of StayCeiling of Care
Retrospective review of the admission proformas of 20 random patients was done - without prompting the admitting team to strictly comply to the ‘Take 10” principles. Education was provided to the next surgical on-call team, who were encouraged to fill out the proforma and carry out the post-take ward round using ‘Take 10’ principles. A relook retrospective review was carried out on a subsequent 20 random patients after 4 weeks. The results from both weeks were compared.
Percentage adherence Observations:25% in 1st week and 95 % in 2nd week Examinations:100% in 1st week and 100 % in 2nd week Impression:100% in 1st week and 100 % in 2nd week Investigations:95% in 1st week and 100 % in 2nd week Antibiotics:63% in 1st week and 90 % in 2nd week IV Fluids:25% in 1st week and 95 % in 2nd week VTE Risk:45% in 1st week and 100 % in 2nd week Nutritional Assessment:48% in 1st week and 100 % in 2nd week Estimated Length of Stay:10% in 1st week and 85 % in 2nd week Ceiling of Care:12% in 1st week and 78 % in 2nd week
The implementation of the Take 10 checklist during the post take surgical ward round, resulted in improved documentation on the emergency general surgery admission proforma.