315 Chaperone Documentation in The Breast Clinic: A Closed Loop Audit

• DOI: 10.1093/bjs/znab259.037
• Publication Date: 2021-10-13T01:32:42Z
• Authors: C Maden; A Lee; M l Kelly; Y R Im; M Barkeji
• Keywords: Chaperone (clinical); Safeguarding

Abstract Aim Intimate examinations are potentially uncomfortable and embarrassing. In addition to offering chaperones routinely, it is also important clearly document the circumstances, with implications on patient dignity safeguarding both patients staff. We aimed analyse quality of chaperone documentation in breast clinic before after intervention. Method Audit standards (GMC Chelsea & Westminster Trust guidelines): [1] Consent [2] Chaperone use/refusal, [3] role identity should be documented notes. collected data prospectively over one week, then re-audited interventions including teaching sessions MDT, introduction electronic (e)-notes (Cerner©), creation an instructional video demonstrating how create automatic template easily aspects use. Results 110 patients’ notes were analysed first cycle, 74 second. Documentation improved significantly between cycle 1 2 for: consent (0% vs. 38%, p < 0.0001), (12% 35%, = 0.0003), (8% 23%, 0.0091). for use or refusal improved, but this was not significant (27% 0.3305). Conclusions most standards, likely due prompting clinician. However, remains suboptimal. Possible reasons include forgetfulness a busy clinic, shortage staff available chaperone. Future recommendations creating mandatory e-notes all section use, role, identity, providing more such as HCAs clinic.