MALT - Peer-review Audit Functionality

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Find a surgeon

The Find a Surgeon directory is a listing of active Fellows of the Royal Australasian College of Surgeons who meet the requirements of the College's Continuing Professional Development (CPD) Program and have opted to be on the list. This list excludes retired or inactive Fellows.

 

The College is a leading advocate for surgical audit.  It is a key part of the annual Continuing Professional Development cycle.

MALT now offers a peer-review feature, to help make the process of conducting an audit easier. 

MALT also continues to offer self-audit, with access to data collection, exporting and reporting features concentrating on individual data.

Why use MALT for peer-review audit

  • MALT provides the data points recommended in the College's Surgical Audit and Peer Review Guide (PDF)
  • Surgeons without access to local audit activities can use MALT as a peer review tool
  • Audit groups can be set up to include anyone with a MALT account, regardless of specialty or user type (Fellow, Trainee, IMG, J-Doc)
  • In-built reports allow for easy peer review and comparison within an audit group
  • Procedures are coded using SNOMED CT-AU terminology, meaning data is comparable internationally

How to use MALT for peer-review

On request (PDF), MALT staff can set up an audit group for any combination of MALT users.

Each audit group must have an Audit Champion. This person is responsible for facilitating the audit, including the peer review aspect, and has access to the group reports in MALT.

An audit group can be restricted by any of the following:

  • Procedures (only specific procedures are included in reports)
  • Timeframe (a start date and end date can be set for the data collection)
  • Logbook (include everyone with a specific Logbook assigned in MALT)
  • SET level
  • User type (Fellow, Trainee, IMG, J-Doc)
  • Specialty
  • Hospital
  • Unit/Clinic
  • Specific users

Any user who fits into the specified categories will receive an emailed invitation to join the audit.

To become an audit participant, a user must accept the invitation in their MALT Account screen. Data will not be shared within the audit group unless the user has accepted the invitation to join.

Reporting within Audit Group

Surgical outcome reports available are:

  • Complications
  • Mortality
  • Return to theatre
  • Unplanned ICU admission
  • Unplanned readmission to hospital

The Qlikview custom reporting tool can be used by individuals in an Audit Group to:

  • Undertake basic risk adjustment
  • Compare their surgical results with the aggregate of their Audit Group
  • Review group results for the Audit Group
  • Examine de-identified results at a surgical event level for their Audit Group
  • Compare performance and identify outliers with funnel plot reports

Availability

This functionality will be available once your specialty logbook has been migrated to SNOMED CT-AU. 

SPECIALTY FELLOWS SETs IMGs
Cardiothoracic Surgery Available Available Available
General Surgery Available Future Future
Neurosurgery Available Australia: Available
New Zealand: Available next rotation
Available
Orthopaedic Surgery Available Available Available
Otolaryngology Head and Neck Surgery Available Available Available
Paediatric Surgery Available Available Available
Plastic and Reconstructive Surgery Available Available Available
Urology Available Available Available
Vascular Surgery Available Available Available
SUBSPECIALTY FELLOWS SUBSPECIALISING
Colon and Rectal Surgery (ANZTBCRS) Available
Gastric and Oesophageal Surgery (ANZGOSA) Available
Hepatic, Pancreatic and Biliary Surgery (ANZHPBA) Available

Contact the MALT Helpdesk to request more information on setting up an audit group. Or submit an Expression of Interest form (PDF) and MALT staff will get back to you.

Terms of use

  • The Terms of Use for the MALT system apply also to the peer-review functionality, with the same legal obligations to the use of patient data.
  • Ethical obligations may arise in relation to audit - should you have any concerns we suggest you approach the audit champion and/or refer to the NHMRC guidelines relating to audit
  • Your participation will be known to other participants and the data you contribute may allow specific surgical outcomes to be attributable to you