ANZ Emergency Laparotomy Audit – Quality Improvement
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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 Aotearoa 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 Aotearoa 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.
This report relates to data collected on 2,886 patients at 24 participating hospitals in the two-year reporting period (1 July 2018 to 30 June 2020).
To enquire about participating in ANZELA please contact the team.
There are currently 85 hospitals (PDF 106.48KB) that have nominated to participate in the ANZELA-QI program. Further expressions of interest are welcome, and should be sent to the ANZELA-QI helpdesk.
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 197.71KB)
Dataset (PDF 371.95KB)
Data collection form (PDF 373.65KB)
ANZELA-QI Process and Outputs (PDF 140.01KB)
REDCap - Getting Started in 5 Steps (PDF 217.55KB)
REDCap - Creating Records in 6 Steps (PDF 200.21KB)
REDCap - Finding Records in 4 Steps (PDF 240.31KB)
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.
All queries please contact the ANZELA-QI Helpdesk.
Benjamin Griffiths - BenjaminG@adhb.govt.nz
Era Soukhin - EraS@adhb.govt.nz