The surgical and anaesthesia colleges, supported by their
specialised societies and sister colleges, believe there is a compelling case for a prospective
Australian and New Zealand Emergency Laparotomy Audit (ANZELA) to
provide data to support quality improvement activities to be
undertaken in hospitals.
This project is co-led by Royal Australasian College of Surgeons
(RACS) and Australian and New Zealand College of
Anaesthetists (ANZCA) with collaboration from General
Surgeons Australia, New Zealand Association of General Surgeons, Australian Society
of Anaesthetists, New
Zealand Society of Anaesthetists, Australasian College
for Emergency Medicine and College of Intensive Care Medicine.
About the audit
The pilot will work by centrally collecting data from
participating hospitals on emergency laparotomies performed within
This data will then be used to provide regular feedback to each
participating site, allowing them to assess their performance
against evidence-based indicators of care, and to drive quality
improvement processes across the hospital.
The audit has national ethical approval in both Australia and
New Zealand, and each hospital needs to coordinate their local
governance approval (and in Australia, hospitals in the Northern
Territory and Tasmania who are not in the National Mutual Acceptance Scheme need to seek
separate ethical approval). For assistance in local governance
approval, contact the ANZELA-QI Helpdesk.
The New Zealand arm of the project is also seeking to minimise
manual data collection by the clinicians. This involves the lead
investigators working with participating hospitals to maximise data
extraction from each hospital's electronic documents wherever
possible. As it is a project-within-a-project, it is called
CADENZAA - CAre DElivery in New Zealand for the Acute Abdomen.
There are currently 60 hospitals (PDF 208 KB) that have
nominated as pilot sites. Further expressions of
interest are welcome, and should be sent to the ANZELA-QI
Data can be entered into the ANZELA-QI
REDcap database once ethical approval has been
Overview (PPT 2.16 MB)
ANZELA-QI Process and Outputs (PDF
Inclusion and exclusion criteria (PDF 141 KB)
Dataset (PDF 651 KB)
collection form (PDF 228 KB)
Monthly RAG Reports | calculations for numerators
and denominators (PDF 128 KB)
REDCap - Getting Started in 5 Steps (PDF 193 KB)
REDCap - Creating Records in 6 Steps (PDF
REDCap - Finding Records in 4 Steps (PDF 264
The project is currently guided by a Working Party with
representation from all collaborating colleges and societies. It is
shortly to hand over to a Steering Committee to provide oversight
to the 12 month pilot, with equivalent representation but under the
direction of the Councils of RACS and ANZCA.
The audit will be operated day-to-day by the RACS Morbidity Audits
Article calling for a quality improvement approach
for emergency laparotomy in Australia (MJA)
Emergency Laparotomy Audit (UK)
RCS Updated Recommendations on the Perioperative Care of the
High-Risk General Surgical Patient, 2018 (PDF 564 KB)
All queries please contact the ANZELA-QI Helpdesk.