Is Wales complying with royal college of surgeons surgical handover guidance?

H. Nageswaran, N. Tanner, L. Hopkins, D. Loughran, C. Florance, K. Boyce, D. Bosanquet, A. Stimpson
2016 International Journal of Surgery  
most severe injuries, defined by KTS 14. 94.8% of patients were treated and sent home, 5.0% were admitted and the remaining patients were referred on or died. Conclusion: The methods from this study can be used to establish similar systems throughout district regions of Malawi and inform local trauma prevention and treatment policies. http://dx.Introduction: Surgical ward rounds are frequently rushed due to various factors including patient volume. The Royal College of Surgeons has yet to
more » ... ns has yet to introduce ward round standards. Plan: This quality improvement project aimed to improve the effectiveness and safety of ward rounds in the surgical emergency unit (SEU) at the John Radcliffe Hospital, Oxford. Do: Consultant surgeons in the SEU were approached to establish ten criteria to be addressed during every patient's ward round consultation. These were used to create an audit collection tool. Check: 95 patients were audited over 3 days in the SEU. This showed an average compliance of 48% across all criteria. Mean time per consultation was 4.8 minutes. Act: Stickers containing the criteria were placed on portable computers used during ward rounds throughout the unit. Stakeholders were engaged during clinical governance presentations and email discussions. Parallel audits were carried out. Result: A re-audit of 115 patients over 3 days took place after the interventions. Average compliance increased to 83% across all criteria. Mean time per consultation improved to 3.7 minutes (p¼0.071). Conclusion: This completed audit cycle shows that a standardised approach to ward rounds can ensure that patients can be thoroughly reviewed without incurring time delays.
doi:10.1016/j.ijsu.2016.08.183 fatcat:63b6v6gxzvebngqm6tuevzaa4u