958 A Study on Electronic Treatment Escalation Plan (TEP) Forms Completion and Compliance

Abstract Aim Establishing a Treatment Escalation Plan (TEP) allows doctors to discuss and record patient preferences in advance, addition cardiopulmonary resuscitation (DNA-CPR), but also for various aspects of emergency care treatment.This study examines the overall rates TEP form completion, as well completion within 48 hours patient's hospitalization, observed routine practise at DGH. Method This was conducted utilising PDSA (Plan-Do-Study-Act) cycles cross-sectional methodology, auditing all adult in-patients admitted hospital Orthopaedic surgery.The first cycle occurred March 2022, followed by interventions an institutional algorithm, second November 2022. Results In cycle, 69.5% patients had completed form, with 47.8% filling one admission.It took average 4.4 days complete, 3.2 overrides. Following intervention discussion departmental meetings, 88.2% tasks were completed, 35.2% ended hours. Average rose 3.7 days, overrides fell 1.3 times. A questionnaire developed juniors ask them about their reasons noncompliance, it realised that majority concerned legal ramifications, correspondence family, small percentage due lack time. Conclusions When are fully informed technique complete forms, increase significantly. The process would be maintained under control regular audits training rotating juniors.