A Microcomputer for General Surgical Audit and Administration

1988 ◽  
pp. 87-96
Author(s):  
S. G. Pollard ◽  
P. J. Friend ◽  
D. C. Dunn
Keyword(s):  
2006 ◽  
Vol 24 (8) ◽  
pp. 276-278 ◽  
Author(s):  
Christian T. Brown ◽  
Mark Emberton
Keyword(s):  

1987 ◽  
Vol 57 (5) ◽  
pp. 303-305 ◽  
Author(s):  
WilliamH. Isbister ◽  
JohnS. Simpson
Keyword(s):  

2017 ◽  
Vol 5 (3) ◽  
Author(s):  
Syed Faizan ◽  
Hassan Shah
Keyword(s):  

2014 ◽  
Vol 186 (2) ◽  
pp. 501
Author(s):  
D. Abraham ◽  
T. Paul ◽  
A. Chandramohan ◽  
N. Shanthly ◽  
R. Oommen ◽  
...  

2018 ◽  
Vol 31 (8) ◽  
pp. 966-972 ◽  
Author(s):  
Declan Dunne ◽  
Nikhil Lal ◽  
Nagarajan Pranesh ◽  
Michael Spry ◽  
Christopher Mcfaul ◽  
...  

PurposeA clinical audit is a key component of the clinical governance framework. The rate of audit completion in general surgery has not been investigated. The purpose of this paper is to assess the rates of audit activity and completion and explore the barriers to successful audit completion.Design/methodology/approachThis was a multi-centre study evaluating current surgical audit practice. A standardised audit proforma was designed. All clinical audits in general surgery during a two-year period were identified and retrospectively reviewed. Data held by the audit departments were collated, and individual audit teams were contacted to verify the data accuracy. Audit teams failing to complete the full audit cycle with a re-audit were asked to explain the underlying reasons behind this.FindingsOf the six trusts approached, two refused to participate, and one failed to initiate the project. A total of 39 audits were registered across three surgical directorates. Only 15 out of 39 audits completed at least one audit cycle, with 4 deemed of no value to re-audit. Only seven audits were completed to re-audit. Achieving a publication or a presentation was the most cited reason for not completing the audit loop.Originality/valueThis study demonstrates that the poor rates of audit completion rate found in other areas of clinical medicine pervade general surgery. Improved completion of an audit is essential and strategies to achieve this are urgently needed.


2020 ◽  
Vol 11 (2) ◽  
pp. 16-20
Author(s):  
Dr. Abdul Ghani Soomro

BACKGROUND & OBJECTIVE: Laparoscopic Cholecystectomy is usual method for the treatment of gall bladder stone disease and is practiced all over the world due to many benefits like fasten the recovery time. Furthermore, it reduced the post-operative pain and period of hospital stay. To conduct Surgical Audit and evaluate safety of Laparoscopic cholecystectomy. METHODOLGY: This prospective study was conducted in a private hospital at Hyderabad during free camps of Laparoscopic Cholecystectomy. Four camps were arranged in 2016 - 2019. Total number of 190 patients  underwent Laparoscopic Cholecystectomy during the study period. The patient's age falls between 12–65 years. A detailed history, relevant investigation and Cardiac fitness were evaluated. All patients underwent four ports Lap-Chole. Data was collected assessed and audit was performed and safety was evaluated. RESULTS: Total 190 patients operated females 88.45% and males 11.55%. 115 (60.50%)were in  the range of 30-35 years followed by 55 (28.95%)patients in the range of 40-50 years.8 (4.20%) patients were converted to open cholecystectomy, 4 due to bleeding from liver bed, 3 patients due to difficult dissection in calots triangle and 1 due to Empyema of gall bladder.10 patients (5.50%) had Trocar site bleeding, 10 patients (5.50%) had gall bladder injury, in 4 cases had spillage of stones and 72 patients (38.50%) developed umbilical port site infection 1 patient develop port site hernia. No mortality was recorded in this study. CONCLUSION: Our Surgical Audit proves that Laparoscopic Cholecystectomy is a safe procedure on the basis of only 4.2% intra operative and 5.5% postoperative complications and gaining wide spread popularity among our population due to less pain, less hospital stay. We recommend other private hospitals to extent such services to our poor population with symptomatic cholelithiasis.


2015 ◽  
pp. 1-8
Author(s):  
Andrew Sinclair ◽  
Ben Bridgewater
Keyword(s):  
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