1028 Why Is Changing Old Habits So Hard?

Abstract Aim Acute uncomplicated diverticulitis (AUD) has been traditionally managed by inpatient admission for bowel rest, intravenous antibiotics, and fluids. World Society of Emergency Surgery (WSES) updated their guidelines in 2020 recommending that patients with AUD no significant co-morbidities or immunocompromise should be treated an ambulatory setting. This full audit cycle aimed to assess the compliance these at our trust. Method Retrospective data collection was conducted from June 2021 July (1st cycle). Inclusion criteria applied: CT proven AUD, below age 80 ability tolerate oral intake, had mental capacity were not immunocompromised. Educational sessions clinicians nurses implemented inform current guidelines. Data re-audited 2022 (2nd Results The first included a total 31 matching inclusion where 45% via care. Two re-presented but didn’t require admission. second 19 47% which ambulatory. Average length hospital stay between outpatient groups 2-3 days versus 4.5 hours. Conclusions rate increased 2%, however remained low. With low re- presentation rates re-admission rates, this shows could safely Shifting engrained mindsets improving greatly save NHS resources alleviate existing bed pressures.