EP.FRI.454 National Emergency Laparotomy Audit: are we compliant with pre-operative mortality risk documentation?

Abstract The National Emergency Laparotomy Audit (NELA) set out key performance indicators in patients undergoing emergency laparotomy, one of which is the assessment individuals pre-operative risk mortality. This should be made explicit to patient and recorded clearly on consent form medical record.1 Pre-operative mortality can calculated through clinical or using NELA scoring tool. Omission a this lead missing accepted standards care belies gaining informed consent. A snapshot audit added database was performed between 01/08/2020 31/10/2020. Data collected included percentage (if calculated) whether taken theatre. figure correlated against patient's physical notes scanned copies Medway. target level ≥ 85% having their being documented appropriately. 49 were uploaded 80% (n = 39) had risk. 55% these 27) proceeded theatre, however correlation with documents Medway revealed none correct documentation as per standards. questionnaire circulated trainees consultants exploring understanding documentation. Of 7 respondents, 4 stated they rarely never guidance. Ideas for improving process pathway document, visual aids (e.g. poster) sticker.