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Aims and Objectives My overarching aim in this Quality Improvement Project was to enhance patient safety and clinical governance in the Emergency Department by strengthening Results Governance, focusing on results documentation and electronic acknowledgement. In line with RCEM standards, the objectives were to ensure all abnormal results were documented with clear action plans and to improve compliance with electronic sign-off. The project also sought to raise clinician awareness, reduce duplication, and improve communication and efficiency. Beyond compliance, the true goal was to embed a culture of safety, ensuring results handling became a consistent, reliable, and integral part of emergency careMethod and Design This QIP followed the RCEM Quality Improvement Guide and applied the Plan–Do–Study–Act (PDSA) methodology to achieve structured, measurable change. Using insights from RCEM governance work and trust QI training, I focused on empowering colleagues through education, engagement, and ownership. Interventions included teaching sessions, visual prompts, peer role-modelling, and collaboration with IT to simplify electronic sign-off. Data from three audit cycles (2024–2025) showed progressive improvement—documentation rose from 65% to 86% and electronic acknowledgement from 5% to 15%. Tools such as driver diagrams, stakeholder mapping, and run charts structured analysis and engagement. Continuous feedback, recognition, and team empowerment ensured sustained improvement and cultural change.Abstract 3848 Figure 1Results and Conclusion Across three audit cycles, Impact of Inclusion on Quality and Safety Improvement was much appreciated, with compliance in results documentation improving from 65% to 86%, and electronic results acknowledgement increased from 5% to 15%. Team participation expanded from 1 to 10 doctors, demonstrating a clear link between multidisciplinary engagement and enhanced governance outcomes. These findings show that structured interventions, education, and shared ownership significantly improved compliance with RCEM Results Governance Standards. The QIP successfully embedded a culture of safety and collaborative improvement within the Emergency Department. A fourth cycle, now underway with 18 doctors, aims to sustain and scale these improvements.