Please use this identifier to cite or link to this item: https://hdl.handle.net/2440/97835
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Type: Journal article
Title: Victorian Audit of Surgical Mortality is associated with improved clinical outcomes
Author: Beiles, C.
Retegan, C.
Maddern, G.
Citation: ANZ Journal of Surgery, 2014; 85(11):803-807
Publisher: Wiley-Blackwell
Issue Date: 2014
ISSN: 1445-1433
1445-2197
Statement of
Responsibility: 
C. Barry Beiles, Claudia Retegan and Guy J. Maddern
Abstract: Background: Improved outcomes are desirable results of clinical audit. The aim of this study was to use data from the Victorian Audit of Surgical Mortality (VASM) and the Victorian Admitted Episodes Dataset (VAED) to highlight specific areas of clinical improvement and reduction in mortality over the duration of the audit process. Methods: This study used retrospective, observational data from VASM and VAED. VASM data were reported by participating public and private health services, the Coroner and self-reporting surgeons across Victoria. Aggregated VAED data were supplied by the Victorian Department of Health. Assessment of outcomes was performed using chi-squared trend analysis over successive annual audit periods. Because initial collection of data was incomplete in the recruitment phase, statistical analysis was confined to the last 3-year period, 2010–2013. Results: A 20% reduction in surgical mortality over the past 5 years has been identified from the VAED data. Progressive increase in both surgeon and hospital participation, significant reduction in both errors in management as perceived by assessors and increased direct consultant involvement in cases returned to theatre have been documented. Conclusions: The benefits of VASM are reflected in the association with a reduction of mortality and adverse clinical outcomes, which have clinical and financial benefits. It is a purely educational exercise and continued participation in this audit will ensure the highest standards of surgical care in Australia. This also highlights the valuable collaboration between the Victorian Department of Health and the RACS.
Keywords: Victoria
dataset
disease management
medical audit
mortality
Description: This study was presented at the Conjoint Medical Education seminar on revalidation held in March 2014 by the RACS in Melbourne.
Rights: © 2014 Royal Australasian College of Surgeons
DOI: 10.1111/ans.12787
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