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- W15672564 abstract "Purpose: Surgical audit and peer review are important strategies in maintaining standards of care in surgery and are a requirement for continuing professional development for all Fellows of The Royal Australasian College of Surgeons. We aim to determine if the current process of determining and reporting complications within our unit was accurate.Methodology: A systematic review of the medical records for all admissions from 1/1/13 to 31/3/2013 was performed. Results were then compared with those which had been presented at monthly audit meetings. Complications were graded according to the College guidelines.Results: During the three month period there was a total of 973 admissions, comprising 399 operations performed, 367 endoscopic procedures, and 207 non-operative admissions. Reported complications totalled 17 with 2 grade one, 3 grade two, 7 grade three, and 5 grade four (mortality). Of the 5 mortalities 3 had died of traumatic injuries soon after presentation without operative intervention. Actual complications totalled 70 with 21 grade one, 24 grade two, 20 grade three, and 5 grade four. Also identified were two complications of surgery performed at another facility then transferred for step down care.Conclusion: In our audit of the audit we found that only 24% of complications were reported using our current process. Within our unit a clinical pathway has been introduced to each patients’ medical record with a check box system for recording complications. Further review will be required to assess the effectiveness of this intervention. This study highlights how auditing processes need ongoing review and hope it can act as a prompt for other units to ensure accuracy in their auditing process." @default.
- W15672564 created "2016-06-24" @default.
- W15672564 date "2014-04-22" @default.
- W15672564 modified "2023-10-16" @default.
- W15672564 title "Quality Assurance & Audit in Surgical Practice Program Abstracts" @default.
- W15672564 doi "https://doi.org/10.1111/ans.12624" @default.
- W15672564 hasPublicationYear "2014" @default.
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