Background and Goal of Study
Patients undergoing procedures under anaesthesia or sedation in theatre and nontheatre
areas are at risk of anaesthesia related incidents, cardiac arrest and periarrest problems. RCoA and AAGBI recommend access to guidelines for management of such problems in all areas where anaesthesia is provided. However ongoing audit in Good Hope Hospital
showed that access to hard copies of guidelines is suboptimal. Audit in 2015 showed compliance to be abysmal at 34%. This was highlighted to theatre management and corrective measures implemented. Reaudit took place in December 2015 to evaluate success of this intervention.

Materials and Methods
Ten theatres were examined for the presence of seven guidelines each. The remaining four high risk areas (two recovery areas, emergency and radiology departments) were examined for three 2015 Resuscitation Council algorithms. Data was analysed using simple statistical methods.

Results and Discussion
Theatres were 100% compliant, having a full sets of guidelines. The four remaining high risk areas did not contain any guidelines.The overall compliance thus improved to 85%. This is an important patient safety issue as guidelines are essential to negate the effect of human factors in high pressure situations

Conclusion
Whilst there is significant improvement in many areas, some sectors have been neglected. Ownership of the project by enthusiastic individuals led to remarkable change in theatres, but non-theatre areas need further input. Discussion with the relevant departments, education and incorporating a daily 'guideline check' is the next step in ensuring compliance. Regular re-audit is essential to avoid complacency.

References
1. Guidance on the Provision of Anaesthesia Services.London:Royal College Of Anaesthetists,2015
2. Risk Management. London:Association of Anaesthetist of Great Britain and Ireland,1998

Re-audit of accessibility of current guidelines for the anaesthetic machine check and management of anaesthetic emergencies