What does this research mean for the field?

Implementation of a standardized Care of the Critically Ill Surgical Patient (CCrISP)-based proforma significantly improves the completeness of acute surgical triage documentation. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

Evaluate whether introducing a standardized Surgical Take Proforma based on the Care of the Critically Ill Surgical Patient (CCrISP) framework improves the completeness and consistency of acute surgical triage documentation.

August 24, 2026CureusOpen Access

Improving Surgical Triage Documentation Through Implementation of a Care of the Critically Ill Surgical Patient (CCrISP)-Based Proforma: A Quality Improvement Project

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Authors

SSSukhbir Sira MFMichael Famewo YIYoosuf Y Ibrahim

Discussion

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Implication

Closed-loop audit demonstrates improved surgical triage documentation completeness using a standardized CCrISP-based proforma in acute surgical admissions, highlighting better clinical communication.

Key Points

Evaluate whether introducing a standardized Surgical Take Proforma based on the Care of the Critically Ill Surgical Patient (CCrISP) framework improves the completeness and consistency of acute surgical triage documentation.
Conducted a two-cycle closed-loop audit within the Department of General Surgery at NHS Grampian reviewing consecutive acute surgical referrals before (Cycle 1, n=30) and after (Cycle 2, n=30) proforma introduction and staff education.
Assessed documentation across five predefined criteria: airway-to-exposure (A-E) assessment, sepsis scoring, patient stability, blood gas or lactate levels, and definitive management planning using exploratory two-sided Fisher's exact tests.
Documentation improved significantly from Cycle 1 to Cycle 2 for A-E assessment (0% to 80%, p<0.001), patient stability (26.7% to 93.3%, p<0.001), definitive management planning (60% to 100%, p<0.001), and sepsis assessment (0% to 46.7%, p<0.001).
Blood gas or lactate documentation increased from 73.3% in Cycle 1 to 86.7% in Cycle 2, which did not reach statistical significance (p=0.333).

Cite This Study

Sira et al. (2026) studied this question.

synapsesocial.com/papers/6a8c009fbca056c88e6df69d https://doi.org/10.7759/cureus.114965

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Implication

Closed-loop audit demonstrates improved surgical triage documentation completeness using a standardized CCrISP-based proforma in acute surgical admissions, highlighting better clinical communication.

Improving Surgical Triage Documentation Through Implementation of a Care of the Critically Ill Surgical Patient (CCrISP)-Based Proforma: A Quality Improvement Project

Discussion

Member takes

Implication

Key Points

Cite This Study

Improving Surgical Triage Documentation Through Implementation of a Care of the Critically Ill Surgical Patient (CCrISP)-Based Proforma: A Quality Improvement Project

Discussion

Member takes

Implication

Key Points

Cite This Study

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