About the audit
Data is collected on emergency laparotomies performed within participating hospitals, and on patients presenting with acute abdomen where surgery is considered futile.
This data is 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 ethics 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 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.
In Australia, data can be entered into the ANZELA-QI REDcap database once evidence of governance approval has been received.
Inclusion and exclusion criteria (PDF 194.74KB)
Dataset (PDF 371.95KB)
Data collection form (PDF 228.33KB)
ANZELA-QI Pilot Overview
ANZELA-QI Process and Outputs (PDF 117.49KB)
REDCap - Getting Started in 5 Steps (PDF 193.38KB)
REDCap - Creating Records in 6 Steps (PDF 209.43KB)
REDCap - Finding Records in 4 Steps (PDF 264.73KB)
The audit 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, 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 Department.