SP2.2.12Safety and Quality using GIRFT parameters; the use of hospital coded data as a quality measure

Aim Several indicators measure performance of hospital departments. Despite keeping accurate personal logbooks, surgeons rarely interrogate hospital-level data though these are used nationally (such as on HES databases) to assess performance. This study assessed the accuracy of hospital-level data. Methods Patients who were recorded as having had a length of stay (LoS) of > 7 days, readmissions and patients who had a return to theatre were identified. A weekly ‘Safety and Quality (SnQ)’ governance meeting was established where consultant general surgeons assessed and analysed these data. Differences between hospital level data and outcomes after consultant review were compared. Results Over a six month study period, there were 306 patients (32 elective, 274 acute) who had a LoS of > 7 days. After review, just 33 patients (13%) had a prolonged LoS due to a complication whereas the majority were due to non-surgical reasons. There were 789 coded readmissions. Most coded readmissions were actually planned with 318 patients (43%) having an unplanned readmission. There were 47 recorded cases of a ‘return to theatre’ but after review, one-third (15 cases) were for planned central venous access and 22 cases were planned returns. Conclusions This responsive and accurate clinical governance system can assess performance beyond standard morbidity and mortality review. Hospital-level data often miss nuance; in this study, most coded readmissions were planned rather than unplanned and these discrepancies may reflect poorly on the department if entered onto national databases. Engagement with these data can help units improve outcomes and accuracy of their performance metrics.

Getting the Story Right: Reflecting on an Indigenous Rubric to Guide the Interpretation of Mortality Data

The Family Violence Death Review Committee (FVDRC) is one of five Mortality Review Committees (MRCs) that sit within the Health Quality & Safety Commission, Aotearoa, New Zealand. A key goal of the work of these committees is the reduction of the unequal burden of disparities shouldered by Māori (Indigenous peoples). Guidance to the committees on interpreting and reporting Māori mortality comes from Te Pou (the pillar/post), a Māori responsiveness rubric published in 2019 by Ngā Pou Arawhenua (the caucus of Māori MRC members). This guidance was called upon by the FVDRC in the preparation of its sixth report, “Men who use violence,” published in 2020. In this article, the FVDRC reflects on how it strove to uphold responsibilities toward Te Titiriti o Waitangi 1 in its sixth report to get the story right ( Tika—to be correct or true), be culturally and socially responsive ( Manaakitanga—hospitability, kindness, support), advance equity, self-determination and social justice ( Mana—prestige, authority, spiritual power), and establish relationship for positive change ( Mahi Tahi—working together). Opportunities for improved responsiveness in FVDRC reporting are identified, alongside suggestions for extending the guidance in Te Pou. Reflective practice on responsiveness to Māori/Indigenous peoples is recommended more generally for MRCs.