{
  "abstract": "Aim and Objectives The PRECIOUS START project at Great Ormond Street Hospital aimed to improve admission documentation quality and completeness in the neonatal intensive care unit (NICU). Newborns in the GOSH NICU have complex medical and surgical needs, but admission records were often incomplete or inaccurate. Referred patients arrive with printed discharge records from electronic systems, and clinicians must duplicate the efforts of typing this same information into the hospital EPR. The project’s objectives were to reduce missing information by 50%, improve documentation accuracy, and streamline admission processes for safer and faster decision-making.Methodology Baseline audit of 10 admission summaries and staff surveys showed that over half of the key clinical information was missing during admission summary documentation. ( Figures 1-3). Process mapping and root cause analysis identified problems, including duplicated work, poor communication, and disconnected electronic patient record systems. (Figure 4). Using quality improvement methods and feedback from the neonatal team, the project introduced structured admission templates, standardised drop-down menus, and digital tools to help clinicians. (Figure 5). Plan-Do-Study-Act cycles were used to gradually improve processes, working with the electronic patient record development team.Results After implementation, documentation completeness improved with a reduction in information by 60%. Time to complete summaries decreased by 30%, reducing treatment delays. Standardised templates and NICU-specific admission navigator improved information sharing and care. Staff reported less administrative work and higher satisfaction, as the structured process improved both accuracy and efficiency. Other ICUs have adapted this approach, and proof-of-concept work has been done for exploring OCR-NLP integration.Conclusion The project demonstrated major improvements in reducing missing information through quality improvement methods. It achieved measurable patient safety improvements through better documentation and stronger team collaboration. This approach provides a model that other Intensive care units can adopt, supporting safer care delivery and ensuring every patient gets the best possible start in our hospital.Abstract 8 Figure 1Baseline auditAbstract 8 Figure 2Comparison of documentation errors: Internal audit vs PDSAAbstract 8 Figure 3Initial auditAbstract 8 Figure 4Process mapping of information flow for admission noteAbstract 8 Figure 5Staff survey results",
  "authors": [
    {
      "affiliations": [
        "Great Ormond Street Hospital for Children NHS Foundation Trust, UK"
      ],
      "name": "Rohan Ganvir"
    },
    {
      "affiliations": [
        "Great Ormond Street Hospital for Children NHS Foundation Trust, UK"
      ],
      "name": "William Bryant"
    },
    {
      "affiliations": [
        "Great Ormond Street Hospital for Children NHS Foundation Trust, UK"
      ],
      "name": "Johanna Andersson"
    },
    {
      "affiliations": [
        "Great Ormond Street Hospital for Children NHS Foundation Trust, UK"
      ],
      "name": "Nuwanthi Yapa Mahathanthila"
    },
    {
      "affiliations": [
        "Great Ormond Street Hospital for Children NHS Foundation Trust, UK"
      ],
      "name": "Caitlin McGovern"
    },
    {
      "affiliations": [
        "Great Ormond Street Hospital for Children NHS Foundation Trust, UK"
      ],
      "name": "Maria Chalia"
    }
  ],
  "title": "8 PRECIOUS START: Patient Record Enhancement for Comprehensive and Uniform Information Sharing by Streamlining Technology in Admission Record Transformation",
  "uid": "f23ba27d-06e7-59a9-8a65-0e9cfd2215e2"
}