269 Quality Improvement: Implementing a General Surgery Ward Round Proforma at Stoke Mandeville Hospital

Abstract Aim In keeping with Good Medical Practice endorsed by the Royal College of Surgeons, a specialised surgical ward round proforma was launched to ensure accurate, clear and comprehensive daily clinical records.1 This is to ensure professional practice and delivery of best medical care. Method The specialised surgical ward round proforma was designed and implemented for general surgery inpatients in May 2023. Data was collected at regular intervals to include compliance and aspects of proforma filled. In parallel, feedback forms were collected to improve subsequent versions of the proforma. Two cycles have been completed by October 2023. Results Compliance of use of the newly launched surgical proforma over the study period was 85% (n=159). Essential items such as date, patient identity, ward name, NEWS score and presenting issue had high recording rates 95%. Spaces dedicated to details such as analgesia and VTE were removed when transiting from version one to version two having noted reduced rates of completion 30%. Supported by individual feedback, sections with similarly low documentation rates such as antibiotic regime and imaging results were retained due to their value on a patient-by-patient basis. Conclusions The introduction of a general surgery ward round proforma has proved useful in ensuring multiple aspects of a patient’s management are considered and documented. Our team looks to implement this proforma at a trust-wide level and aim to analyse improvements in multiple aspects of patient care including informed decision making in patient management, antibiotic stewardship, collaboration amongst the multidisciplinary team and continuity of care.