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Principles of Surgery
- Acute Limb Ischaemia
- Anastamosis
- Blood transfusion
- Brainstem death
- Burns
- Chemotherapy
- Clinical Trials / Medical statistics
- Diathermy
- Drains
- Dressings
- Fracture healing
- Gunshot wounds / Blast Injury
- Informed Consent
- Intensive Care (ITU)
- Nerve Injury
- Operating list order
- Paediatrics
- Palliative care
- Patient safety in theatre
- Radiotherapy
- Screening
- Sterilisation & disinfection
- Stoma
- Surgical Audit
- Sutures / Needles
- Symptom based
- Theatre design
- Tourniquet
- Transplantation
- Wound healing
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Surgical Audit
Audit
- Quality control process
- Critical and systematic review of practice against set standard
- Aim to improve quality of surgical care
Audit subtypes
- Structure: - organisation, resources
- Process: - way in which patient has been managed from admission to discharge
- Outcome: - outcome of surgical intervention
Stages in Audit process
- Define audit topic
- Collect data + verification by peer review
- Data analysis
- Presentation of results + recommendations
- Re-audit
Requires honesty, completeness, objectivity
Examples
- NCEPOD (National Confidential Enquiry into Peri-operative Deaths
- Improve standards of surgical practice
- ICNARC (Intensive Care National Audit And Research Centre)
- MINAP (Myocardial Infarction National Audit Project)