6544 Do education and visual prompts improve clinical practice?

Objectives The study aimed to investigate whether visual prompts and staff education influence clinical practice related to blood glucose monitoring in acute paediatric presentations. Methods All presentations of patients 1 Results In November 2021, out of 798 children presenting to Raigmore Hospital, 21.4% underwent blood glucose monitoring. Among these, only 3.0% of blood glucose checks were deemed inappropriate, however 38.8% of omissions were categorized as 'missed.' Following the intervention period, in November 2022, 651 children presented to Raigmore Hospital, where there was a 10.4% increase in the total number of blood glucose tests conducted. The proportion of missed investigations decreased by 27.1%, but inappropriate checks rose by 6.2%. Conclusion There has been significant progress in identifying high-risk patient groups for abnormal blood glucose levels in acute paediatric presentations. The significant reduction in the proportion of missed blood glucose checks reflects the positive impact of staff education and visual prompts, such as posters. The simultaneous rise in inappropriate blood glucose checks indicates a tendency to exercise greater caution. It is important to note that medical staff changeovers occur every four months, hence there may be a need for refresher education sessions for new staff. Further staff education, aided by effective posters, can significantly improve patient care. References NICE, 2017. Sepsis: recognition, diagnosis and early management. Accessed 16/09/23, https://www.nice.org.uk/guidance/ng51/resources.