368 Challenges Moving to a Fully Electronic System: An Audit

Abstract Aim In October 2020, our hospital moved to an all-online clinical record keeping system, resulting in clinicians becoming responsible for electronically requesting follow up appointments at the time of each encounter. We aimed ensure that with introduction new computing appropriate was booked and all members staff were proficient utilising this system. Method Operative notes reviewed obtain requirements up, specifically wound assessment clinic (WAC), hand therapy (HT) outpatient (OPC). Patient charts then ascertain if planned happened, booked, or requested. re-audited 4 months later, following departmental education. Results first week using electronic 100% required WAC (24/24) HT (13/13) completed, however 14% (4/27) OPC had not been Following education, re-audit found similar results, 12% (4/31) cases where requested, it specified operation note whether required. Conclusions When introducing systems there is potential unfamiliarity use impact on patient care, even after trust-wide training. It important bear mind continue audit educate staff, implementing safety netting systems. Detailing plan notes, including when required, improves communication between ensures lost.