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Surgical Unit Audit Or Personal Audit PowerPoint PPT Presentation


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Surgical Unit Audit Or Personal Audit. Insert dates here. Welcome to the fair dinkum audit. Total admissions. Total admissions: AAA Elective admissions: BB Emergency admissions: CC Unplanned readmissions: D Transfers (for more complex treatment): E Consultation: F. Non operative cases.

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Surgical Unit Audit Or Personal Audit

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Surgical unit audit or personal audit l.jpg

Surgical Unit AuditOr Personal Audit

Insert dates here

Welcome to the fair dinkum audit


Total admissions l.jpg

Total admissions

Total admissions: AAA

  • Elective admissions: BB

  • Emergency admissions: CC

  • Unplanned readmissions: D

  • Transfers (for more complex treatment): E

  • Consultation: F


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Non operative cases

  • Total admissions: AA

Double click on table to edit


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Operative work

Double click on table to edit and insert own data and numbers

Double-click on the graph to insert unit data


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Endoscopy

Colonoscopy: XX

Gastroscopy:YY

Colonoscopy Completion rate

Polypectomies

Complications

Double-click on the graph to insert unit data


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Operative Workby type

Double-click on the chart to insert unit data


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Colorectal Operative Work

Colorectal example only

Choose your specialty (ies)

Replace with appropriate specialty list


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Biliary Surgery

Gall bladder and biliary surgery

Indicators for GB surgery

Bile leaks

Unplanned postop ERCP

Revisional surgery/Transfers

Double click on table to edit and insert own data and numbers


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Upper GI Surgery

Upper GI surgeons

Double click on table to edit and insert own data and numbers


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Breast Operations

Breast specialty only

Breast cancers treated:

Double click on table to edit and insert own data and numbers


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Endocrine Surgery

Endocrine Surgery example

Double click on table to edit and insert own data and numbers


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Minor/Moderate Surgery

Rural Surgery Examples

Double click on table to edit and insert own data and numbers


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Complications: summary


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Grade

Explanation

Examples

Grade 1

Those that do not delay discharge and have little impact on the patient’s wellbeing

Phlebitis, electrolyte imbalances, acute retention

Grade 2

Prolongs stay or causes significant morbidity

Wound infection, fall causing fracture,

Grade 3

Require significant intervention to manage complication including operative or radiological intervention

Requiring reoperation, ICU admission, nutritional support, coronary stenting, radiological drainage of abscess

Grade 4

Complication causing or contributing to death of patient

Fatal complications such as pulmonary embolus, myocardial infarction, postoperative peritonitis


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Complications

Grade 1 (minor inconvenience – a sign that you record complications comprehensively): AA

Examples only – put in your own

Click on Graph to enter data and add rows


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Complications

Grade 2 (Increase length of stay or cause major morbidity without needing a major intervention

Click on Graph to enter data and add rows

Examples only – put in your own


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Complications

Grade 3 (Requiring major intervention): CC

Examples only – put in your own

Click on Graph to enter data and add rows


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Complications

  • Elaborate on type 3 complications

  • Sex, age, admission problem, diagnosis

  • development and treatment of complications

  • Avoidable?

  • Effect on patient?

Use one slide per major complication or event

Add an illustrative photo or xray image


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Indicators 1:Unplanned readmissions

  • Sex and age

  • Admission presentation

  • Procedure

  • Reason for re-admission

  • Subsequent adverse events/indicators?

  • Avoidable?

  • Outcome


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Indicators 2:Unplanned return to theatre

  • Initials, sex and age

  • Admission presentation

  • Procedure

  • Post op complications

  • Repeat procedure(s)

  • Subsequent course

  • Outcome


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Indicators 3:Unplanned readmission to ICU

  • Initials, sex and age

  • Admission presentation

  • Procedure

  • Post op complications

  • ICU admission dates; ?early discharge

  • ?timing of transfers appropriate

  • Date of death – expected?

  • Avoidable?


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Mortality

  • Initials, sex and age

  • Admission presentation/representation

  • Post op complications

  • ICU admission dates

  • Date of death

  • Autopsy/Coroner

  • Death Classification (Examples below)

    • Expected due to nature of disease process

    • Unexpected death not reasonably preventable

    • Unexpected, preventable death

    • Death due to a recognised complication of surgery


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An Interesting/Challenging Case

Age Sex Presentation

Insert Photo

You heard it first at the PSA

Treatment, Progress Outcome


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Reporting the Issues

Click on Graph to enter data and add rows


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