Neurosurgery Webinar
March 30, 2021
Scientific Program
Omar Desouky
Newcastle university
Title: Imaging in acute pancreatitis – A QI Project
Biography:
Omar Desouky completed MBBS at Newcastle university. Currently working as a Foundation year 2 in North west of England, Current surgical lead of the undergraduate teaching committee, with and interest in general surgery and Orthopadics.
Abstract
Background:
This QI was triggered from an audit, highlighting many unnecessary CT scans done in acute pancreatitis (AP)
Baseline data prior to intervention revealed that over 50% of FY1/2 Junior Doctors (JDs) do not feel confident/aware of indications when requesting the scans
This QI was triggered from an audit, highlighting many unnecessary CT scans done in acute pancreatitis (AP)
Baseline data prior to intervention revealed that over 50% of FY1/2 Junior Doctors (JDs) do not feel confident/aware of indications when requesting the scans
Aim: Increase percentage of JDs who identify as confident when requesting CT for patients with AP by 25% in 12 weeks thus reducing unnecessary radiation and complying with the IRMER legislation
Methods: Teaching on imaging in AP as well as distribution of an advisory guides that will act as a quick reference source when requesting a scan, were delivered to Surgical JDs
Pre/post intervention questionnaires were used to asses impact of above interventions
Pre/post intervention questionnaires were used to asses impact of above interventions
Results: Overall there was marked increase in JDs confidence. JDs were
- 4 times more confident to identify optimal time for initial CT
- >5 times more confident in identifying indications for scanning
The above was also reflected in the re-audit which showed
- Less scans were justified via diagnostic uncertainty
- Increased Percentage of CT’s that adhere to the optimal timing – 66% vs 40%
Conclusion:Increasing confidence in requesting CT for AP and understanding the reasoning behind when it is needed decreases the amount of unnecessary CTs
Effectivity of using QIP for audit interventions, fulfilling portfolio criteria
Effectivity of using QIP for audit interventions, fulfilling portfolio criteria
Recommendations:Regular teaching sessions to JDs
Easily accessible flash cards that can be used to give quick aid when requesting scans
Repeating yearly to minimize radiation exposure to patients
Easily accessible flash cards that can be used to give quick aid when requesting scans
Repeating yearly to minimize radiation exposure to patients
- Neurosurgery
- Orthopaedic Surgery
- Robotic Surgery
- General Surgery
- Pancreatic Surgery
- General Anaesthesia
- Anaesthesia Recovery
- Surgical Oncology
- Trauma Surgery & Critical Care
- Thoracic surgery
