305 Using Urology Specific Ward Round Sheets to Improve Clinical Documentation

Abstract Aim To improve the documentation of vital clinical information on urology ward round. prompt staff to review antibiotics, venous thromboprophylaxis, patient observations, and formulate a plan in structured format. Method A retrospective, cross-sectional analysis was performed assess whether following parameters were documented/accounted for during ward-round: date, time, NEWS score, entry easily found medical notes. Following this, urology-specific ward-round sheet synthesised between nursing staff. This standardised identifiable notes ensured all above accounted by prompting note-taker record them. Two months introduction this same analysed inpatients manner. Results Documentation score improved from 30% 93% with sheet. Similarly, antibiotics reviewed 60%, thromboprophylaxis 20% 53%. It also noted that easier find Conclusions key is ensure optimal care. Surgical ward-rounds can be quick paced important considerations such as may missed. simple intervention intended parameters. The next step alter before re-auditing.