357 An Audit of Quality of Discharge Summaries in Cardiac Surgery

Abstract Aim We performed a single-centre closed loop audit assessing the completeness and quality of e-discharge summaries following cardiac surgery against local standards. Method The e-discharge summaries of patients who underwent cardiac surgery form 1/08/2023 to 10/08/2023 were audited against the standards set by the local hospital’s e-discharge summary template. Results and recommendations were shared at a team meeting of the hospital, and on a poster displayed in the MDT office. The same data was then collected for patients who underwent cardiac surgery from 25/10/2023 to 6/11/2023. Results 110 patients were included across 2 cycles. Of 16 domains of interest, 5 were complete in 100% of e-discharge summaries in the first cycle, increasing to 7 in the second. The proportion of summaries with the ‘reason for admission’ misplaced in the clinical summary instead of the allocated field decreased from 43% to 40%, while proportion of GP requests with the reasoning in the allocated box rose from 55% to 57%.For those with no requests to the GP, this was initially specified in the mandatory field as N/A or equivalent in 23% rising to 48% in cycle two, whereas for those who had no ECHOs during the admission, this was specified in 20% initially, rising to 27%. The proportion avoiding acronym use decreased from 17% to 15%. Conclusions Even though compliance improved between the two cycles, the standard of 100% was not met for most criteria. Further team education and revision of the template itself is required to allow information reporting in a succinct, user-friendly format.