212 Surgical Operation Note Audit

Necessity for surgical audit.

For me the word audit has two meanings. Firstly, the regular study and analysis of facts about patients directly under one's own care; secondly, a more public accounting for practices, errors, and mishaps. The distinotion is more than trivial in my specialty, for while the one may be accepted the other may be equally as strongly resisted or its purpose vitiated by the emotions it arouses. It is...

Audit of Orthopaedic Surgical Documentation

Introduction. The Royal College of Surgeons in England published guidelines in 2008 outlining the information that should be documented at each surgery. St. James's Hospital uses a standard operation sheet for all surgical procedures and these were examined to assess documentation standards. Objectives. To retrospectively audit the hand written orthopaedic operative notes according to establish...

Surgical Operation Returns

Serum immunoglobulins after surgical operation.

We measured immunoglobulins in the sera of 33 patients on days 1, 3, 6, 10, and 17 and three to four weeks after surgical operations (mostly hysterectomy or appendectomy) or (six patients) after spinal injury. In the absence of infection or blood transfusion, IgG usually decreased slightly and transiently after hysterectomy or appendectomy, as did IgA or IgM after hysterectomy. IgD concentratio...

How participation in surgical mortality audit impacts surgical practice

BACKGROUND Surgical mortality audit is an important tool for quality assurance and professional development but little is known about the impact of such activity on professional practice at the individual surgeon level. This paper reports the findings of a survey conducted with a self-selected cohort of surgeons in Queensland, Australia, on their experience of participating in the audit and its...