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Surgical AuditDR. AHMAD UZA IR QURESH IASS ISTANT PROFESSOR OF SURGE RYK ING EDWARD M ED ICAL UN IVE RS ITY , L AHOREFCPS , MRCS , MCPS , PG D IP M EDE DUCAT ION( CARD IFF , PHD SCHOL AR
Surgical audit is the systematic, critical analysis of the quality of surgical care
reviewed by peers against explicit criteria, used to further inform and improve surgical practice
with the ultimate goal of improving the quality of care for patients.
Audit’s purpose
whether what you think happening really is !!!!!
Audit’s purpose
Whether current performance meets existing standards !!!!!
A surgical audit involves:Collection of clinical activities
and measurement of outcomes;
Analysis and comparison using Standards, Performance indicators and Outcome parameters
A peer review process with a feedback mechanism to redress problems.
AimsTo identify ways of improving and maintaining the quality of careTo assist in the continuing education of surgeonsTo help make the most of resources available for health services
One
extra
Drip !!
Example Mayo hospital is a 2500 bedded hospital
Average in hospital admission is = 2500
Cost of One I/V fluid = PKR 74 + PKR 110 + PKR 10 + PKR 1 = PKR 200 ( APPROX)
Example Mayo hospital is a 2500 bedded hospital
Average in hospital admission is = 2500
Cost of One I/V fluid = PKR 74 + PKR 110 + PKR 10 + PKR 1 = PKR 200 ( APPROX)
Cost of one inappropriate fluid = 200 x 2500 = PKR 5,00,000/day
Example Mayo hospital is a 2500 bedded hospital
Average in hospital admission is = 2500
Cost of One I/V fluid = PKR 74 + PKR 110 + PKR 10 + PKR 1 = PKR 200 ( APPROX)
Cost of one inappropriate fluid = 200 x 2500 = PKR 500000/ DAY
There are thirty days in a month = 200 x 2500 x 30 = PKR 15,000,000 month
Example Mayo hospital is a 2500 bedded hospital
Average in hospital admission is = 2500
Cost of One I/V fluid = PKR 74 + PKR 110 + PKR 10 + PKR 1 = PKR 200 ( APPROX)
Cost of one inappropriate fluid = 200 x 2500 = PKR 500000/ DAY
There are thirty days in a month = 200 x 2500 x 30 = PKR 15,000,000 year
There are 12 months in a year =
PKR 180,000,000 / year
Research shows that audit and feedback is an
effective educational strategy and helps
participants analyze their performance and plan
effective responses to improve their performance.
Audit Cycle
Steps of Audit Cycle
ScopeSelect standardsCollect datainterpret resultsChange implementation
Common areas in the scope of an audit include:
Mortality And Significant Morbidity,Length Of Hospital Stay,Readmission Rates,Positive And Negative Outcomes,Operation Specific Complications,
Process Of Care, Such As Pre-operative Care,Use Of Investigations,Justification Of Management; AndPatient Satisfaction.
Steps of Audit Cycle
ScopeSelect standardsCollect datainterpret resultsChange implementation
P.I.C.O.
Population Intervention Comparision
Outcome
Steps of Audit Cycle
ScopeSelect standardsCollect datainterpret resultsChange implementation
6 W Questions !!Who
How
What
Why
Where
When
Steps of Audit Cycle
ScopeSelect standardsCollect datainterpret resultsChange implementation
Steps of Audit Cycle
ScopeSelect standardsCollect datainterpret resultsChange implementation
Steps of Audit Cycle
Re-StartSelect standardsCollect datainterpret resultsChange implementation