EP.FRI.849 Quality Improvement Project for Management of Unstable Ankle Fracture in Scunthorpe General Hospital

Abstract Introduction In SGH, little emphasis is placed on ankle fracture as compared to hip fracture. Hence, an audit was done compare management of unstable in adherence BOAST guidelines. It found out that few aspects A&E were inadequate. Analyzing the root cause non-adherence guideline can lead better care for these patients. Aim Primary aim ensure fractures are treated effectively line with Secondary a timely manner. Change practice Discussion held between Orthopaedic consultant and consultant. Firstly, poster displaying algorithm displayed A&E. Secondly, Orthopaedics doctor would come reduce after first failed attempt. Methods Prospective data collected. Patients who admitted SGH assessed regards guidelines via WebV, PACS clinical notes. Results Major improvement seen different aspects. The documentation neurovascular assessment skin integrity department improved by 57%. Additional radiographs whole leg when examination suggests more proximal fibula (Maisonneuve injury) performed 60% patients previously. Adequacy reduction 25%. Conclusion Small changes make big difference. Good communication teamwork departments best way provide