Jose Lourtie NELA Project Manager Royal College of Anaesthetists OR NATIONAL EMERGENCY LAPAROTOMY AUDIT WHAT IS A LAPAROTOMY NATIONAL EMERGENCY LAPAROTOMY AUDIT OVERVIEW BACKGROUND Project started in December 2012 ID: 929543
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Slide1
Developing a structured narrative with an improvement message
Jose Lourtie
NELA Project Manager
Royal College of Anaesthetists
Slide2OR
Slide3NATIONAL EMERGENCY LAPAROTOMY AUDIT
WHAT IS A LAPAROTOMY:
Slide4NATIONAL EMERGENCY LAPAROTOMY AUDITOVERVIEW / BACKGROUND:Project started in December 2012100% of eligible Hospitals registered
Over 45,000 individual patient cases entered in first two years of patient audit
6,000 users registered online and entering data
Carried out by the National Institute of Academic Anaesthesia's (NIAA) Health Services Research Centre (HSRC) on behalf of the Royal College of Anaesthetists
Being run alongside other key stakeholders (
eg
Royal College of Surgeons)
Slide5NATIONAL EMERGENCY LAPAROTOMY AUDIT
WHY IT WAS COMMISSIONED & AIMS:
30,000 Laparotomies undertaken each year
Research showed evidence that too many people die undergoing Emergency Laparotomies
Wide variation in care
15% mortality rate
Overall aim is to improve quality of care for patients undergoing Emergency Laparotomy
Slide6NATIONAL EMERGENCY LAPAROTOMY
AUDIT
REPORT INPUT:
Clinical Reference Group
Project Team
HQIP
NHS England
Slide7NATIONAL EMERGENCY LAPAROTOMY AUDITPUBLICATIONS:
Organisational Audit
Patient Audit
Slide8Exec summary:Key ThemesRecommendationsFindingsNATIONAL EMERGENCY LAPAROTOMY AUDIT
PATIENT AUDIT REPORT:
Slide9NATIONAL EMERGENCY LAPAROTOMY AUDITPATIENT AUDIT REPORT:
Full Report:
How to read report
Standards
MeasuresFindings
Audit QuestionsRecommendationsRAG TablePatient Story
Slide10NATIONAL EMERGENCY LAPAROTOMY AUDITPATIENT AUDIT REPORT:
Full Report:
How to read report
Slide11NATIONAL EMERGENCY LAPAROTOMY AUDITPATIENT AUDIT REPORT:
Full Report:
Overall Recommendations
Commissioners
Chief ExecutivesMedical and Clinical Directors
Multidisciplinary teamsNELA Leads
Slide12NATIONAL EMERGENCY LAPAROTOMY AUDITPATIENT AUDIT REPORT:
Full Report:
Standards
Findings
Audit QuestionsSpecific Recommendations
Best Practice
Slide13NATIONAL EMERGENCY LAPAROTOMY AUDITPATIENT AUDIT REPORT:
Full Report:
RAG Table
Individual Hospital Results
Slide14NATIONAL EMERGENCY LAPAROTOMY AUDITPATIENT AUDIT REPORT:
Full Report:
Patient Story
Slide15NATIONAL EMERGENCY LAPAROTOMY AUDITPATIENT AUDIT REPORT:
Post Report and Ongoing Support
Hospital Action Plans
Template PowerPoint presentation
Dashboard
Slide16NATIONAL EMERGENCY LAPAROTOMY AUDIT
NELA DASHBOARD:
New Quality Improvement initiative being developed
Provides real-time feedback of local data in comparison to National
Allows for data to be easily viewed and interpreted
Demographics & Case Ascertainment
key QI indicators
Export own data
Slide17ANY QUESTIONS?
More information at:
NELA.ORG.UK
Follow us on:
@
NELANews
Email:
jlourtie@rcoa.ac.uk