Abstract
Abstract Introduction In St Helier Hospital, Surrey, we run a busy Emergency General Surgery Service, performing almost 200 laparotomies annually. It is remarkable that in our Department every laparotomy case is consultant-led and that the percentage of HDU admission of high perioperative risk cases reaches 100%, leading to survival rates that are above the UK average. However, the NELA database has not been updated consistently with cases missing and others entered erroneously. As a result, the NELA database does not reliably reflect the quality of care we provide to our patients and undermines the Department’s CQC metrics. Methods We established a multidisciplinary QI Project involving the Departments of General Surgery, Anaesthetics and Intensive Care to create a team culture of commitment to NELA collection data. Interventions Results Conclusion Simple measures as well as raising awareness among the implicated professionals has led to great improvement in adherence to updating NELA database.
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