From Induction to Impact: Can a Digital Toolkit Transform ENT Casualty Care? Foundation Year doctors frequently manage acute ENT presentations with limited training, creating variability in documentation and adherence to guidelines. This quality improvement project introduced a QR-accessible digital decision-support toolkit with structured templates and guideline summaries, evaluated across two audit cycles involving 395 patients.

Significant improvements were observed in tympanic membrane documentation, timely nasal fracture management, early audiometry for SSNHL, and appropriate cautery use in epistaxis, alongside reductions in unnecessary imaging and swabbing. Staff surveys demonstrated improved confidence, efficiency, and access to evidence-based guidance. The findings highlight the scalability of low-cost digital tools to improve quality and standardisation in junior-led acute…