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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

Surgical Unit AuditOr Personal Audit

Insert dates here

Welcome to the fair dinkum audit

total admissions
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
Non operative cases
  • Total admissions: AA

Double click on table to edit

operative work
Operative work

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

Double-click on the graph to insert unit data

endoscopy
Endoscopy

Colonoscopy: XX

Gastroscopy:YY

Colonoscopy Completion rate

Polypectomies

Complications

Double-click on the graph to insert unit data

operative work by type
Operative Workby type

Double-click on the chart to insert unit data

colorectal operative work
Colorectal Operative Work

Colorectal example only

Choose your specialty (ies)

Replace with appropriate specialty list

slide8

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

slide9

Upper GI Surgery

Upper GI surgeons

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

slide10

Breast Operations

Breast specialty only

Breast cancers treated:

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

slide11

Endocrine Surgery

Endocrine Surgery example

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

slide12

Minor/Moderate Surgery

Rural Surgery Examples

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

slide14

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
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

complications16
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

complications17
Complications

Grade 3 (Requiring major intervention): CC

Examples only – put in your own

Click on Graph to enter data and add rows

complications18
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
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
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
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
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
slide23

An Interesting/Challenging Case

Age Sex Presentation

Insert Photo

You heard it first at the PSA

Treatment, Progress Outcome

slide24

Reporting the Issues

Click on Graph to enter data and add rows