Learning and recommendations from Significant Event Analysis of Lung Cancer cases (poster)

Abstract

Aims/Objectives/Background: Lung cancer is the leading cause of cancer mortality in the UK. Significant Event Analysis (SEA) is a well-established quality improvement activity and method for learning from new cancer diagnoses. This project aimed to provide additional insights into the diagnostic processes for lung cancer and to develop the use of multi-site SEA as an educational tool.

Content of Presentation: 134 general practices in Lancashire and South Cumbria undertook SEA’s of lung cancer cases from the preceding three years (n=418) as part of an incentivised scheme. Anonymised data were collected on a standardised form. Practices provided learning outcomes and recommendations.

Relevance/Impact: Thematic analysis of multi-site SEAs provides an opportunity for collaborative learning from cancer cases. These findings confirm and provide additional insights to the existing literature.

Outcomes: Practices reported an increased awareness of lung cancer presentations; consideration of ‘soft signs’ such as infrequent attendance, re-attendance and diagnostic overshadowing from pre-existing conditions. Lower thresholds for investigation and referral were advocated; however, the diagnostic limitations of chest X-ray and delay in CT scan reporting were frequently highlighted problems. There was an overarching theme of ownership concerning communication and follow-up of patients. Commissioners were recommended to continue support of SEA projects; improve provisioning of radiological reporting; and to address deficits in patient education.

Discussion: Findings from SEA can be utilised to inform educational practice needs and commissioning intentions for cancer pathways. Further research is required regarding the use of SEA for improving and sustaining cancer outcomes.