EP-271 Assessing the Impact of Implementing the STAR Score at a Tertiary Level Hospital in India: A Closed-loop Clinical Audit

Abstract

Abstract Aim To perform an audit to check Quality & Compliance of Surgical documentation using STAR Score in the general surgery department of a tertiary hospital in India. Method A total of 20 case files were studied and assessed in detail from the general surgery department. The audit was done for a period of 1 month at a tertiary hospital in India. The “STAR: Surgical tool for auditing records” tool was used to collect data accordingly. The results were compared with standard guidelines and further analyzed. Interventions were carried out by a series of departmental training and meetings. After 2 weeks, a re-audit was performed. Result The overall compliance score of the general surgery department was seen to be 82% in the first cycle. While the initial clerking constituted 21% compliance, operative records, and discharge summaries, showed compliance of 33% and 22% respectively. Consent and Anesthetic records showed the least compliance of 7% and 14%. The highest compliance was seen in subsequent entries, constituting 35%. In the second cycle, a significant change was reported as the overall compliance score increased to 95%. All sections showed a statistically significant increase. Consent and anesthetic records demonstrated an increase of 75% and 70% compliance, respectively. Conclusion We believe that compliance and implementation of the STAR Score is mandatory, as it can significantly improve the quality of documentation and can be implemented universally.