123 Supporting A Learning System in Paediatric Emergency Pathways; Using Organisational Comparisons, Serious Incidents and Near Miss Events To Improve The Diagnosis And Treatment Of Testicular Torsion

Abstract Introduction Scrotal pain is a common presentation to the emergency department requiring prompt investigation and management identify testicular torsion. Using national data we aim key suboptimal areas in acute diagnosis of torsion with view improving outcomes. Method A freedom information request was made all Trusts England that manage Serious Incidents (SI's) were analysed see if those Paediatric Emergency Departments fared better than without. In addition, qualitative thematic analysis NHS Strategic Executive Information System database from 2007-2019 undertaken, identifying themes associated orchidectomies ‘near miss’ events children. Results 304 serious incidents returned 62 Orchidectomies 242 Near Miss Events. Misdiagnosis symptomatic testicle not significant when comparing ED specialists (OR = 1.46, p 0.3842). Atypical resulting orchidectomy 6, 0.0355). miss are due variety factors. There no statistical significance ED's caring for ages EDs U 807.5, z -1.124, 0.261. Conclusions There's need education about atypical examination scrotum cases lower abdominal pain. It's also vital specialist teams cognisant standard operating procedures relevant scrotal Finally, there should be drive annual audit Urology units regards as SI's may under-reported.