AUDIT OF SURGICAL EMERGENCY AT LAHORE GENERAL HOSPITAL

Authors

  • Sadaf Khalid
  • Afsar Ali Bhatti
  • Burhan ulhuq

Abstract

Background: Audit is a quality improvement process that seeks to improve patient care and outcomes through systematic review of care against explicit criteria and the review of change. Objective of this study was to report the patterns of admissions in our surgical emergency and the comparison of results with the available data Methods: All the patients presented in the surgical emergency of Unit III from April to December 2014. Detail of all surgical patients admitted during the period was recorded from the emergency entry register maintained by the staff nurse. Demographic data, mode of admission, diagnosis and outcomes were recorded on a pro forma. Results: Total number of patients were 11140, out of which 5998 (53.8%) were males and 5142 (46%) were females, mostly were between 18–56 years of age. Emergency surgeries were performed in 650 of our cases whereas the rest of the patients were managed conservatively, treated at minor operation theatre (MOT), referred to their concerned emergencies or discharged. The most common presentation was road traffic accidents followed by trauma, urological emergencies and intestinal obstruction. Overall mortality was estimated as 1.5%. Conclusions: Surgical audit should be made a regular practice to serve as an important and effective tool of accountibilty on clinical outcomes and self evaluation and in improving the quality of our health care system.Keywords: Surgical Audit, surgical emergency, outcomes

References

National Institute for Clinical Excellence. Principles for Best Practice in Clinical Audit. Oxford, Radcliffe Medical Press, 2002.

Bulstrode CJK, Russel RCG, Williams NS. Surgical audit. In: Bailey & Love’s Short Practice of Surgery. 23rd ed. London, UK: Arnold;2000:1307–13.

Sanazaro PJ, Worth RM. Concurrent quality assurance in hospital care, report of a study by private initiative in PSRO. N Eng J Med 1978; 298(11):1171–7.

Ali SA, Soomro AG, Tahir SM, Memon AS. Prospective basic clinical audit using minimal clinical data set. J Ayub Med Coll Abbottabad. 2010;22(1):58–61.

Campbell WB, Souter RJ, Collin J, Wood RF, Kidson IG, Morris PJ. Auditing the vascular surgical audit. Br J Surg 1987;74(2):98–100.

Ruckley CV. Mechanisms of Audit: discussion paper. J R Soc Med 1984;77(1):40–4.

Bhatti G, Haider J, Zaheer F, Khan SQ, Pirzada MT, Khan TM. Surgical Audit of Unit II, Department of Surgery, Abbasi Shaheed Hospital, Karachi. Ann Abbasi Shaheed Hosp Karachi Med Dent Coll 2006;11(2):54–8.

Nantulya VM, Reich MR. The neglected epidemic; road traffic injuries in developing countries. BMJ 2002;324(7346): 1139–41.

Oskam J, Kingnama J, Klasen HJ.The Groningen Trauma Study. Injury patterns in a Dutch trauma center. Eur J Emerg Med 1994;1(4):167–72.

O’Neill B, Mohan D. Reducing motor vehicle crash deaths and injuries in newly motorizing countries. BMJ 2002;324(7346):1142–5.

Masiira-Mukasa N, Ombito BR. Surgical admissions to the Rift Valley Provincial General Hospital, Kenya. East Afr Med J 2002;79(7):373–8.

Shaikh R, Jeddi MF, Ali G, Iqbal SA. Patterns of diseases in a surgical unit at Layari General Hospital, Karchi. Med Channel 2000;6(2):29–31.

Manzar S. Inguinal Hernias-Incidence. Complication and management. J Coll Physician Surg Pak 1992;2(1):7–9.

Chatterjee H, Jagdish S, Pai D, Satish N, Jayedev D, Ready PS. Changing trends in outcome of typhoid ileal perforations over three decades in Pondicherry. Trop Gastrintestinal 2001;22(3):155–8.

McGuire HH, Horsley JS, Salter DR, Sobel M. Measuring and managing quality of surgery: statistical vs. incidental approaches. Arch Surg 1992;127:733–7.

Scottish Audit of Surgical Mortality. 2001 annual report Glasgow: SASM, Royal College of Physicians and Surgeons of Glasgow. Available at: http://www.sasm.scot.nhs.uk/REports/ 2001Report/SASM2001Report.pdf

Published

2015-03-01

Issue

Vol. 27 No. 1 (2015): JOURNAL OF AYUB MEDICAL COLLEGE, ABBOTTABAD

Section

ORIGINAL ARTICLE

License

Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License  CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.

USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.

AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.