SP9.1.5 Compliance with the NELA pathway at a District General Hospital. Reducing time to theatre by limiting CT-associated delay - A prospective closed loop audit

Abstract Aim NELA recommends rapid request, conduct and reporting of CT to reduce the delay in time theatre thus ultimately improving patient outcomes. Our aim was identify delays with regards scanning reporting. Methods Local Laparotomy Pathway standard that scans be performed within one hour being requested reported performed. data electronic records were reviewed over a 3 month period (January 2020 March 2020) - revealing only 59% pre-laparotomy CTs done (n = 17) complied this standard. A dedicated “CT Emergency Laparotomy” protocol introduced, which assigned scan as top priority for both radiographers radiologists. After making change, prospectively collected see if there reduced from request report. Results Compliance pathway three October January 2021 increased 81% 21). Reasons non-compliance included instability, awaiting renal profile; COVID-related deep cleaning between patients. Out hours, outsourced, led even quicker – multiple request. Of 16 patients fit criteria urgent laparotomy, 87.5% (14 patients) operated on 6 hours initial intention operate. Conclusion re-audit showed after introduction laparotomy protocol, report Laparotomy.