Academic Orthopaedics, Trauma and Sports Medicine
Lunchtime Seminar Programme
Title: Orthopaedic ward antibiotic compliance audit:
Author: C.F Yiu, Fady Atia
Aim: to check compliance of antiobiotic prescription in orthopaedic ward comparing to the NICE antibiotic guideline
Result: 93% of antibiotic started with clear indication written in drug chat and notes but not all has been follow by collecting appropriate samples and not all antibiotic has be reviewed in 72 hr after starting
Title: What’s in a Trauma Team? A Review of Red and Amber Trauma calls.
Author: Bolton, Jackman
Aim: To review documented presence and grade of staff at amber and red trauma calls as outlined by Trust Guidelines.
Method: A retrospective audit of red and amber trauma calls of patients presenting during the month of August 2018 was performed. Patient notes were reviewed via the hospital database system, the major trauma booklet assessed for type of trauma call (amber / red), time of trauma call and trauma team signed in as present for the call.
Title: Consent Form 4: Assessing the completeness and quality of documentation
Author: Olamide Oyende
Aim: Brief Description: Consent form 4 is the form for adults who are unable to give or withhold consent to investigation or treatment by themselves. The inability to consent to treatment is often permanent in most of our patients, as they are commonly elderly and have dementia, but this should not eliminate due process. The latter include a proper documentation of the treatment proposed including its benefits and risks, an assessment of patient’s capacity and best interests, discussion with family members and relevant legal personnel, and seeking a second opinion, if appropriate. Remember that if it was not documented, it did not happen! This was a retrospective analysis of patients admitted under trauma and orthopaedics who were operated on between 1st and 31st December 2018 following the use of a consent form 4. Twenty-five patients were included in the study. There was appropriate documentation of patient identifier data and details of proposed procedure on all 25 forms. 16% of the forms had no responsible health professional documented. Benefits and risks of the procedure were closely linked, with 56% documentation of benefits and 60% for risks. Capacity and best interests were both assessed and documented in 64% of patients, with about 40% overlap of both being documented in the same patient.
Title: Venous Thrombo Embolism (VTE) Assessment Completion in Orthopaedic Trauma Patients – A Clinical Audit
Author: D Spiers
VTE is a preventable cause of death in orthopaedic trauma patients (1). Venogram and ventilation ⁄ perfusion studies show a prevalence of 37% for
deep vein thrombosis (DVT) and 6% for PE (pulmonary embolism) in hip fracture patients (2). This standards-based audit audited the completion and accuracy of electronic VTE assessments within 24 hours of admission to an NUH orthopaedic trauma ward across a 24 hour period.
Title: Appropriate Oxygen Prescribing in Orthopaedic Trauma Patients – A Clinical Audit. April-May 2018.
Author: D Spiers
Oxygen is a drug and should always be prescribed. The British Thoracic Society have published international guidelines for oxygen use in adults in healthcare and emergency settings (1). Oxygen should be prescribed to achieve a target saturation of 94–98% for most acutely ill patients or 88–92% for those at risk of hypercapnic respiratory failure. Audit: The prescription charts of all ward based orthopaedic trauma patients were audited over a single 24 hour period to ascertain the following: 1. Oxygen prescribed? 2. Correct target saturations defined? 3. Oxygen administered without prescription?