684 Improving Day-Case Rates of Transurethral Resection of Bladder Tumours: How Efficacious Is a Solitary Educational Afternoon in a District General Hospital?

Abstract Aim Initiatives like Getting It Right First Time (GIRFT) are highlighting the significance of day case Transurethral Resection of Bladder Tumours (TURBTs) in patient care and addressing the national waiting list crisis. Our quality improvement project aimed to assess the enhancement in day case rates of TURBTs through an educational afternoon on this topic delivered to the entire Urological unit including surgeons, nurses, and ward staff. Method A 2-stage medical record review was performed (2 months before and after an educational afternoon implement), to evaluate day-case rates and surgical outcomes. Demographics and clinical parameters collected include discharge date, surgeon grade, re-admissions, and post-op complications. Results Seventy-two patients were identified in the study period across 4 months with an overall day-case rate of 20.8, undergoing TURBTs. The actual day-case rates decreased from 24 to 18 following the education implement in the middle of the study period. An expected discrepancy in age of patient was identified between day-case(median 63.4)and in-patient cases(median 75.4). Thirty-day re-admission rates were found to be lower in the day-case TURBTs. Mean length of stay was 1.3 days for the cohort. Conclusions Our study alludes that a solitary educational implement is insufficient to achieve a paradigm shift to day-case TURBTs. The low day-case rates in our cohort may reflect an elderly co-morbid demographic of the region. Implementing a robust multi-faceted and multidisciplinary day-case TURBT pathway may align us with national averages. We intend to re-evaluate our day case TURBT day-case services following the implementation of this streamline’s bespoke day-case pathway.