1503 Review of Electronic Theatre Coding System & Documentation of Neurosurgical Activity

Abstract Introduction It was noticed that the current electronic theatre coding system limited in its reflection of departmental activity and discrepancies discharge letters compared to actual operations performed. To prevent this from recurring, a standardised neurosurgical operation note developed, an audit undertaken see if correct matched code listed. Method A 6-month retrospective analysis March September 2020 completed using system, patients’ records patient handover list. Results 232 performed only 10.3% procedures were correctly coded by system. 11 not on although theatres. The for 82 did show full range operations. There wide variety notes 185 found record. Frequently procedure clearly identified so juniors relied inaccurate list hence explaining problem letters. Conclusions new created with 228 divided into subcategories. template also developed implemented is reflected, accurate are complete data collection can be done purposes.