179 Improving Operative Notes in Upper GI Surgery: An Innovative QI Project Utilising Existing Electronic Hospital Systems

Abstract Introduction Operative notes play a valuable role in ensuring that surgical patients receive consistent and adequate care. There are many inherent difficulties affecting their quality. We performed QI project to improve operative at our centre. Method A questionnaire assessing subjective quality of was sent all foundation doctors delivering post-operative Compliance each inclusion recommendation the RCS guidelines analysed. standardised template for incorporated into hospital’s electronic records system, compliance then reassessed. Results Questionnaire responses (16) were better typed vs hand-written domains: ease accessing notes, following intra-operative steps, plans frequency asking additional information regarding plans. After implementation template, mean across 19 parameters improved from 69% (55 operations) 89% (46 operations). Number with 100% 2/19 8/19. increased 14/19 parameters, there no change (already 100%) reduction seen 3/19. Conclusions analysis showed favourable when compared hand-written. The introduction without investment new software, guidelines.