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