Surgical Unit Audit Or Personal Audit

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Surgical Unit AuditOr Personal Audit

• Insert dates here

Welcome to the fair dinkum audit
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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

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Operative work
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and numbers
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Endoscopy

• Colonoscopy XX
• GastroscopyYY

Colonoscopy Completion rate Polypectomies Compli
cations
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Operative Workby type
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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
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and numbers
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Upper GI Surgery
Upper GI surgeons
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and numbers
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Breast Operations
Breast specialty only
Breast cancers treated
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and numbers
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Endocrine Surgery
Endocrine Surgery example
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and numbers
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Minor/Moderate Surgery
Rural Surgery Examples
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and numbers
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Complications summary
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(No Transcript)
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Complications
Grade 1 (minor inconvenience a sign that you
record complications comprehensively) AA
Examples only put in your own
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Complications
Grade 2 (Increase length of stay or cause major
morbidity without needing a major intervention
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Examples only put in your own
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Complications
Grade 3 (Requiring major intervention) CC
Examples only put in your own
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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 1Unplanned readmissions

• Sex and age
• Admission presentation
• Procedure
• Reason for re-admission
• Subsequent adverse events/indicators?
• Avoidable?
• Outcome

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Indicators 2Unplanned return to theatre

• Initials, sex and age
• Admission presentation
• Procedure
• Post op complications
• Repeat procedure(s)
• Subsequent course
• Outcome

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Indicators 3Unplanned 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
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