A Re-Audit of Teesside On-Call Email System

Aims An on-call email system was put in place to facilitate communication between wards and the doctor, allowing prioritisation of duties according green, amber red tasks. Information regarding patient, nature request clinical background are expected form. The doctor is respond within 45 minutes. We completed a re-audit compare if standards were reached practice attempt find any areas that could be improved. Methods collected information on forms, presence adequate response time by reviewing Teesside inbox. One day randomly chosen from each week for 24 month period all emails reviewed days. This amounted (N=680) emails. compliance measured against local trust criteria with standard 100%. assessed four parameters completion providing including information, patient identification location, minutes doctor. Results subpar, notable decrease previous results. Compliance less than 70% across standards, where previously three above this mark. There increase requests inappropriate tasks defined as non-urgent per guidelines. Conclusion Better can ensured use SBAR (Situation, Background, Assessment, Recommendation) forms. Mutual sharing doctors, nursing staff administration regard appropriate written constitute base structural change improvement workplace. New members doctors should inducted regards process communication. Regular re-auditing results essential monitoring compliance.