1309 A Quality Improvement Project on Small Bowel Obstruction Operative Mortality Rate

Abstract Aim Higher than average emergency laparotomy mortality rates had been identified via the National Emergency Laparotomy Audit (NELA), at a particular hospital. Small bowel obstruction (SBO) is commonest cause for laparotomy. The aim of this project was to evaluate management SBO, and implement changes reduce operative SBO rate. Method NELA used assess cases between 1st Dec 2018 - 30th Nov 2019; (n = 198), which there were 24 mortalities. dataset filtered 87), 12 clinical these analysed compared latest ASGBI NCEPOD recommendations on management. Following review, systematic change in introduced with reducing time operation, appropriate candidate selection avoiding drifting This consisted producing flowchart as well ensuring allocation theatre slot within 72 hours patients suitable operation. Results intervention, we assessed April 2021 31st March 2022 152), 13 57), 3 rate reduced from 12% 9%. 14% 5%. deaths relating 50% 23%. Conclusions intervention resulted improvement overall rates.