BILL YULE, Matrons, Medics and Maladies: Edinburgh Royal Infirmary in the 1840s East Linton, Tuckwell Press, 1999, pp.xiv + 236, Pbk. £12.99

Abstract Introduction Operative cancellation rates can be up to 17.6%, resulting in delays to patient treatment and management. This audit was conducted to assess underlying reasons for operative cancellations with the aim to minimise cancellations in the future. Method A retrospective review of General surgery operative cancellations during 2019 at Aberdeen Royal Infirmary was undertaken. Data was obtained from Theatre Management. Results 28548 operations were performed across all surgical specialities during 2019 with 2664 operations cancelled. Within General Surgery, 447 were cancelled (182 emergency (40.7%), 265 electives (59.3%)). The most common reason was lack of theatre time for elective cases and procedure no longer needed for emergency cases. For cancelled elective surgeries, there was a median time of 29 days before being operated. Conclusions We highlight that both elective and emergency operations are susceptible to cancellation. There are clear differences in the reason of cancellation between elective and emergency. Going forward, it is worth discussing booking emergency operations with the on-call consultant to ensure they are necessary. Regarding elective operation cancellations due to lack of theatre time it would be imperative to assess the exact cause of this as to minimise operative cancellations. We plan re-audit once a departmental discussion has been made.

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450 Retrospective Analysis of Surgical Clerk-Ins Within the Acute Receiving Unit: A Quality Improvement Project

British Journal of Surgery ◽

10.1093/bjs/znab134.424 ◽

2021 ◽

Vol 108 (Supplement_2) ◽

Author(s):

L Lee ◽

A MacLeod ◽

A Bradley

Keyword(s):

Royal Infirmary ◽

Improvement Project ◽

Out Of Hours ◽

Emergency Admissions ◽

Vte Prophylaxis ◽

Care Services ◽

Documentation Quality ◽

Patient Documentation ◽

Patient Handovers

Abstract Introduction Accurate patient documentation at the ARU is vital to patient safety and ensuring smooth handovers to secondary care services. Because the nature of surgical treatment requires frequent patient handovers, and this increases the risk of miscommunication, we aimed to assess the quality of surgical clerk-ins and identify areas for improvement. Method Emergency admissions at the Dumfries Galloway Royal Infirmary were audited, looking at documentation quality under various clerk-in sections. Data was analysed before presentation to clinical governance. Results When 46 patient clerk-ins were examined, venous thromboembolism (VTE) prophylaxis plans were performed in only 24% of admissions - less than 1 in 4 patients. Comparing out-of-hours and in-hours patient documentation, much higher omission rates were identified in the out-of-hours documentation: in systemic enquiry (42 vs 100%) and family history (31% vs 66%). Conclusions These results brought to attention the effect of hospital admission timing on patient documentation quality, and the lack of VTE prophylaxis planning. In surgery, these plans are key to minimising risk of avoidable thromboembolic complications. A departmental meeting was convened to stress the importance of accurate and comprehensive clerk-ins to ARU doctors. Future audits could explore the factors influencing documentation quality for out-of-hours admissions, and ways to address these issues.

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ROYAL INFIRMARY, NEWCASTLE-ON-TYNE

The Lancet ◽

10.1016/s0140-6736(02)03981-8 ◽

1893 ◽

Vol 141 (3635) ◽

pp. 997-999

Author(s):

Page

Keyword(s):

Royal Infirmary

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Para-incisional tattooing with electrocautery

The Journal of Laryngology & Otology ◽

10.1017/s0022215100143671 ◽

1999 ◽

Vol 113 (3) ◽

pp. 244-245 ◽

Cited By ~ 2

Author(s):

Akhtar Hussain ◽

Michael S. W. Lee

Keyword(s):

New York ◽

Head And Neck ◽

Operative Procedure ◽

Neck Surgery ◽

Head And Neck Surgery ◽

Operative Procedures ◽

Royal Infirmary ◽

Medical College ◽

Albany Medical College ◽

Aberdeen Royal Infirmary

AbstractThe authors present a technique using electrocautery diathermy to make surgical tattoos. This method has been used in over 300 patients who underwent head and neck surgery at Aberdeen Royal Infirmary and Albany Medical College, New York, over a period of five years. A wide variety of operative procedures such as total laryngectomies and neck dissections were performed. The electrocautery surgical tattoos have a major advantage of persisting until the end of the operative procedure by which time other types of tattoos have faded. The technique is widely available, inexpensive, and has to date been complication free.

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ABUSES AT THE MANCHESTER ROYAL INFIRMARY.

The Lancet ◽

10.1016/s0140-6736(02)79054-5 ◽

1855 ◽

Vol 65 (1647) ◽

pp. 328-329

Keyword(s):

Royal Infirmary ◽

Manchester Royal Infirmary

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