Demonstrating the results across the audit cycle
| Data point | No of notes with data points completed (%) | % Change from period 1 to 5 | 2×2 Contingency table using Fisher’s exact test between period 1 and 5 | ||||
| Period 1 | Period 2 | Period 3 | Period 4 | Period 5 | |||
| Date and time | 31 (62) | 50 (100) | 50 (100) | 50 (100) | 50 (100) | +38 | 0.0001 |
| Elective/emergency procedure | 2 (4) | 50 (100) | 50 (100) | 50 (100) | 50 (100) | +96 | 0.0001 |
| Names of the operating surgeon and assistant | 26 (52) | 50 (100) | 50 (100) | 50 (100) | 50 (100) | +48 | 0.0001 |
| Name of the theatre anaesthetist | 43 (86) | 25 (50) | 28 (56) | 29 (58) | 30 (60) | −26 | 0.0063 |
| Operative procedure carried out | 46 (92) | 50 (100) | 50 (100) | 50 (100) | 50 (100) | +8 | 0.1175 |
| Incision | 46 (92) | 42 (84) | 50 (100) | 50 (100) | 50 (100) | +8 | 0.1175 |
| Operative diagnosis | 46 (92) | 49 (98) | 50 (100) | 50 (100) | 50 (100) | +8 | 0.1175 |
| Operative findings | 46 (92) | 49 (98) | 50 (100) | 50 (100) | 50 (100) | +8 | 0.1175 |
| Any problems/complications | 20 (40) | 18 (36) | 21 (42) | 16 (52) | 24 (48) | +8 | 0.5459 |
| Any extra procedure performed and the reason why it was performed | 46 (92) | 50 (100) | 50 (100) | 50 (100) | 50 (100) | +8 | 0.1175 |
| Details of tissue removed, added or altered | 39 (78) | 49 (98) | 48 (96) | 47 (94) | 46 (92) | +14 | 0.0905 |
| Identification of any prosthesis used, including the serial numbers of prostheses and other implanted materials | 46 (92) | 48 (96) | 47 (94) | 47 (94) | 48 (96) | +4 | 0.6777 |
| Details of closure technique | 46 (92) | 49 (98) | 49 (98) | 47 (94) | 49 (98) | +6 | 0.3622 |
| Anticipated blood loss | 0 (0) | 18 (36) | 13 (26) | 10 (20) | 14 (28) | +28 | 0.0001 |
| Antibiotic prophylaxis (where applicable) | 17 (35) | 19 (38) | 18 (36) | 25 (50) | 21 (42) | +7 | 0.5368 |
| DVT prophylaxis (where applicable) | 20 (40) | 17 (34) | 19 (38) | 23 (46) | 11 (22) | −18 | 0.0828 |
| Detailed postoperative care instructions | 46 (92) | 49 (98) | 50 (100) | 49 (98) | 49 (98) | +6 | 0.3622 |
| Signature | 46 (92) | 50 (100) | 50 (100) | 50 (100) | 50 (100) | +8 | 0.1175 |
| Typed | 1 (2) | 50 (100) | 50 (100) | 50 (100) | 50 (100) | +98 | 0.0001 |
| Overall compliance | 64.5% | 82.3% | 83.5% | 83.5% | 83.4% | +18.9 | 0.0003 |
Areas shaded in grey represent 100% compliance.
Data points in bold did not achieved full compliance throughout the audit period.