P-O10 Mortality and Morbidity Reporting Quality

Abstract Background Mortality and morbidity (M&M) meetings in surgery are an important quality assurance process. These contribute to learning, education improvements patient care. In order achieve these outcomes effectively, M&M meeting require robust structure process including accurate documentation of complications. Our hepato-pancreatico-biliary (HPB) unit conducts records weekly based on consultant reported However as there was no standardized method complications possible under-reporting. This realisation acted a basis investigate the robustness our current reporting methodology surgical recommend changes practice improvement. Methods Patients were selected retrospectively (May 20 - Sep 20) from recording excel sheet which is maintained through meetings. Patient undergoing major HPB cancer resections included. Day case procedures excluded. Complications compared against any additional mis-reported review online discharge letters, summaries & investigations. The primary aim this improvement project identify secondary aims compare change Comprehensive complication Index (CCI) following addition Results Total number patients included study n = 46. Postoperative recorded for 27 patients. 19 identified have unreported 34. amounted average per at 1.78. Average CCI score 14.4 before inclusion There significant rise 35.8; increase 21.6 after Conclusions Unreported resection impact learning It essential make prevent mis-reporting. We recommended use Clavein-Dindo grading form part clerking. would help real time during postoperative journey patients, capture even minor also be get forms countersigned by responsible consultants