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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 AuditOr 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

  • Total admissions: AA

Double click on table to edit


Operative work

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

Double-click on the graph to insert unit data


Endoscopy

Colonoscopy: XX

Gastroscopy:YY

Colonoscopy Completion rate

Polypectomies

Complications

Double-click on the graph to insert unit data


Operative Workby type

Double-click on the chart to insert unit data


Colorectal Operative Work

Colorectal example only

Choose your specialty (ies)

Replace with appropriate specialty list


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


Upper GI Surgery

Upper GI surgeons

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


Breast Operations

Breast specialty only

Breast cancers treated:

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


Endocrine Surgery

Endocrine Surgery example

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


Minor/Moderate Surgery

Rural Surgery Examples

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


Complications: summary


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


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


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


Complications

Grade 3 (Requiring major intervention): CC

Examples only – put in your own

Click on Graph to enter data and add rows


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


Indicators 1:Unplanned readmissions

  • Sex and age

  • Admission presentation

  • Procedure

  • Reason for re-admission

  • Subsequent adverse events/indicators?

  • Avoidable?

  • Outcome


Indicators 2:Unplanned return to theatre

  • Initials, sex and age

  • Admission presentation

  • Procedure

  • Post op complications

  • Repeat procedure(s)

  • Subsequent course

  • Outcome


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?


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


An Interesting/Challenging Case

Age Sex Presentation

Insert Photo

You heard it first at the PSA

Treatment, Progress Outcome


Reporting the Issues

Click on Graph to enter data and add rows


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