{
  "abstract": "Application for ESRA Abstract Prizes:Background and Aims Effective documentation is an integral part of healthcare service delivery. It facilitates continuity of care and has a medicolegal aspect. In our previous audit, we reviewed 100 medical records to assess documentation of Preparation Stop Block (PSB). There was no documentation of PSB in 41% of these records. A group of experts have recently published recommendations for effective documentation in regional anaesthesia. The aim of this project was to design, implement and assess compliance of a single paper chart for documentation in regional anaesthesia in accordance with the latest expert recommendations.Methods Leeds Teaching Hospitals Trust (LTHT) is one of the largest NHS hospitals in the UK with around 9000 regional nerve blocks being performed annually. After reviewing latest recommendations and collating departmental feedback, we developed a dedicated regional anaesthetic chart which was introduced to LTHT and subsequently reviewed to assess compliance.Results Following serial design changes, we have finalised a single chart for documentation in regional anaesthesia ( figure 1) which has been approved by our local quality committee and employed as part of LTHT documentation. This chart is now the sole anaesthetic record utilised on the hand surgery unit at LTHT where regional anaesthesia is the main mode of anaesthesia. We have since reviewed 50 of these anaesthetic charts to assessed compliance. PSB was documented in 90% of records with good compliance in other domains (figures 2 and 3).Abstract P310 Figure 1Chart for regional anaesthesia documentationAbstract P310 Figure 2Compliance of pre-procedure preparation documentationAbstract P310 Figure 3Compliance of procedure details documentationConclusions We have designed, implemented and assessed compliance of a dedicated regional anaesthetic chart following expert recommendations. This has achieved standardisation of documentation at LTHT.",
  "authors": [
    {
      "affiliations": [
        "Anaesthesia, Leeds Teaching Hospitals NHS Trust, Leeds, UK"
      ],
      "name": "Hassan M Ahmed"
    },
    {
      "affiliations": [
        "Anaesthesia, Leeds Teaching Hospitals NHS Trust, Leeds, UK"
      ],
      "name": "Tamer Abouzied"
    },
    {
      "affiliations": [
        "Anaesthesia, Leeds Teaching Hospitals NHS Trust, Leeds, UK"
      ],
      "name": "Hisham Riad"
    },
    {
      "affiliations": [
        "Anaesthesia, Airdale NHS Foundation Trust, Steeton, UK"
      ],
      "name": "Jagadish Gourapura"
    },
    {
      "affiliations": [
        "Anaesthesia, Harrogate District NHS Foundation Trust, Leeds, UK"
      ],
      "name": "Rachel Holmes"
    }
  ],
  "title": "P310 Effective documentation in regional anaesthesia: implementing recommendations at a large UK hospital",
  "uid": "623e3765-ef58-5d14-bca7-9480fa88eb14"
}