Conclusion
Through the implementation of a four-step, evidence-based process of achieving and checking adequate haemostasis, this project has successfully reduced the overall incidence of post-operative haemorrhage in our paediatric tonsillectomy cases. Furthermore, our change in haemostasis practice has suggested a second benefit of reducing the number of post-operative bleeds which require a return to theatre for further surgical exploration and intervention. However, despite these suggested improvements in patient outcomes, further audits should be conducted to incorporate a larger patient cohort with extension to other regional centres for comparison following incorporation of our proposed change in practice for intra-operative haemostasis checks.