Fair Dinkum Audit Surgical Unit Audit Or Personal Audit Insert dates here

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

Fair Dinkum Audit Non operative cases Total admissions: AA Double click on table to edit

Fair Dinkum Audit Operative work Double-click on the graph to insert unit data Double click on table to edit and insert own data and numbers

Fair Dinkum Audit Endoscopy Colonoscopy: XX Gastroscopy:YY Double-click on the graph to insert unit data Colonoscopy Completion rate Polypectomies Complications

Fair Dinkum Audit Operative Work by type Double-click on the chart to insert unit data

Fair Dinkum Audit Colorectal Operative Work Replace with appropriate specialty list

Fair Dinkum Audit Indicators for GB surgery Bile leaks Unplanned postop ERCP Revisional surgery/Transfers Biliary Surgery Double click on table to edit and insert own data and numbers

Fair Dinkum Audit Upper GI Surgery Double click on table to edit and insert own data and numbers

Fair Dinkum Audit Breast Operations Breast cancers treated: Double click on table to edit and insert own data and numbers

Fair Dinkum Audit Endocrine Surgery Double click on table to edit and insert own data and numbers

Fair Dinkum Audit Minor/Moderate Surgery Double click on table to edit and insert own data and numbers

Fair Dinkum Audit Complications: summary IndicatorsnumbersAdverse outcome Unplanned readmission AaR Unplanned reoperation BbS Unplanned ICU admission CcT Comps Grade1DdU Comps Grade 2EeV Comps Grade 3FfW Sentinel eventsGgX Near missesHhY MortalityIiZ

Fair Dinkum Audit GradeExplanationExamples Grade 1Those that do not delay discharge and have little impact on the patient’s wellbeing Phlebitis, electrolyte imbalances, acute retention Grade 2Prolongs stay or causes significant morbidity Wound infection, fall causing fracture, Grade 3Require significant intervention to manage complication including operative or radiological intervention Requiring reoperation, ICU admission, nutritional support, coronary stenting, radiological drainage of abscess Grade 4Complication causing or contributing to death of patient Fatal complications such as pulmonary embolus, myocardial infarction, postoperative peritonitis

Fair Dinkum Audit Grade 1 (minor inconvenience – a sign that you record complications comprehensively): AA Complications Examples only – put in your own Click on Graph to enter data and add rows

Fair Dinkum Audit Complications Grade 2 (Increase length of stay or cause major morbidity without needing a major intervention Examples only – put in your own Click on Graph to enter data and add rows

Fair Dinkum Audit Complications Grade 3 (Requiring major intervention): CC Examples only – put in your own Click on Graph to enter data and add rows

Fair Dinkum Audit 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

Fair Dinkum Audit Indicators 1: Unplanned readmissions Sex and age Admission presentation Procedure Reason for re-admission Subsequent adverse events/indicators? Avoidable? Outcome

Fair Dinkum Audit Initials, sex and age Admission presentation Procedure Post op complications Repeat procedure(s) Subsequent course Outcome Indicators 2: Unplanned return to theatre

Fair Dinkum Audit Initials, sex and age Admission presentation Procedure Post op complications ICU admission dates; ?early discharge ?timing of transfers appropriate Date of death – expected? Avoidable? Indicators 3: Unplanned readmission to ICU

Fair Dinkum Audit 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

Fair Dinkum Audit An Interesting/Challenging Case Insert Photo Age Sex Presentation Treatment, Progress Outcome

Fair Dinkum Audit Click on Graph to enter data and add rows Reporting the Issues