{
  "abstract": "Application for ESRA Abstract Prizes:Background and Aims Proper 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 check effective documentation of Stop Before You Block (SBYB). There was no documentation of SBYB in 41% of the reviewed charts. Ahmed and colleagues have recently published recommendation for effective documentation in regional anaesthesia. The aim of this project is to design, implement and assess compliance of a single paper chart for documentation in regional anaesthesia according to the latest expert recommendations.Methods Leeds Teaching Hospitals is one of the biggest NHS trusts across UK. Estimated annual block procedures in LTHT is around 9000. We aimed to create a single chart following the latest expert recommendations. 6 months later, we have audited the compliance to the newly designed chart.Results After serial design changes, to make it concise, inclusive and easy to use. We have finalised a single chart for documentation in regional anaesthesia ( figure 1) which has been approved by our local quality committee. It is now the sole anaesthetic record employed in the Trust and in our hand surgery unit where regional anaesthesia is the main mode of anaesthesia. We have reviewed 50 anaesthetic charts and assessed the compliance to fulfill the chart. We achieved a good compliance in the reviewed charts (figures 2 and 3)Abstract P308 Figure 1Chart for regional anaesthesia documentationAbstract P308 Figure 2Compliance of pre-procedure preparation documentationAbstract P308 Figure 3Compliance of procedure details documentationConclusions We have designed, implemented and assessed compliance of a regional anaesthesia documentation chart following experts’ recommendations. This has achieved standardisation of documentation in our Trust.",
  "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": "P308 Implementing regional anaesthesia recommendations for effective documentation in a tertiary referral center",
  "uid": "b02ee9e2-36e8-519f-88c8-c41b069f0782"
}