In This Section

National reports & publications

A listing of reports and publications produced from the Australian and New Zealand Audit of Surgical Mortality (ANZASM).

On this page

Guidelines

Assessment Guidelines (PDF 269.48KB)

National Reports

This report is based on the activities and outcomes since 2009. Aggregating information from multiple regions over time will allow identification of emerging trends in surgical care. The aim is to identify any system or process errors and develop strategies to redress these.
An erratum has been issued for the ANZASM 2011 Report. Figure 34, page 39: The percentage of consultant involvement by region performing surgery in region 8 was incorrect. The figures for this region has been correctly revised and should be replaced in the report by the following pdf: ANZASM 2011 Annual Report page 39 (PDF 386.75KB)

Publications

  • 2023
    • Liu DS, Fayed A, Evans P, Bright T, Aly A, Duong C, et al. Understanding Potentially Preventable Mortality Following Oesophago-Gastric Cancer Surgery: Analysis of a National Audit of Surgical Mortality. Ann Surg Oncol. 2023;30(8):4950-61. Available from: https://www.ncbi.nlm.nih.gov/pubmed/37157003.
    • Murshed I, Gupta AK, Camilos AN, Sabab A, Bacchi S, Kovoor JG, et al. Surgical interhospital transfer mortality: national analysis. Br J Surg. 2023;110(5):591-8. Available from: https://www.ncbi.nlm.nih.gov/pubmed/36857150.
    • Galiabovitch E, Lim KY, McCahy P. Death after endoscopic prostate surgery in Australia and New Zealand: a review of clinical management issues. ANZ J Surg. 2023;93(12):2986-90. Available from: https://www.ncbi.nlm.nih.gov/pubmed/37936508.
    • Hansen D, Itotoh F, Helena K, Aitken RJ, Australian, New Zealand Audit of Surgical M. Observations from Australia's National Surgical Mortality Audit. World J Surg. 2023;47(12):3140-8. Available from: https://www.ncbi.nlm.nih.gov/pubmed/37882828.
    • McCahy P. The demise of the plain Kidney Ureter Bladder Xray may have been slightly exaggerated. BJUI Compass. 2023;4(1):62. Available from: https://www.ncbi.nlm.nih.gov/pubmed/36569497.
    • North J, Murphy K, Beaumont G. Self-regulated trustworthiness: reality or myth? ANZ J Surg. 2023;93(5):1126-7. Available from: https://www.ncbi.nlm.nih.gov/pubmed/37226666.
    • Qin SS, Vinluan J, McCahy P. Analysis of potential clinical management issues in unreported mortality data from an Australian health service. ANZ J Surg. 2023;93(5):1181-4. Available from: https://www.ncbi.nlm.nih.gov/pubmed/36881483.
    • Robinson D, Beaumont G. Making Surgery as Safe as It Should Be: A Qualitative Study. Am J Med Qual. 2023;38(5):238-44. Available from: https://www.ncbi.nlm.nih.gov/pubmed/37503856.
    • Jolly S, Chu MKW, Gupta AK, Mitchell J, Kovoor JG, Stewart SK, et al. Potentially avoidable mortality after endoscopic retrograde cholangiopancreatography in Australia: an 8-year qualitative analysis. ANZ J Surg. 2023;93(7-8):1825-32. Available from: https://pubmed.ncbi.nlm.nih.gov/37209092/.
    • Liu DS, Bright T, Watson DI. ASO Author Reflections: Preventable Mortality Following Esophago-Gastric Cancer Resection. Ann Surg Oncol. 2023;30(8):4962-3. Available from: https://www.ncbi.nlm.nih.gov/pubmed/37154969
  • 2022
    • Chui JN, Papachristos AJ, Mechera R, Sidhu SB, Sywak MS, Lee JC, et al. Unexpected deaths after endocrine surgery: learning from rare events using a national audit of surgical mortality. Br J Surg. 2022;109(11):1164-71. Available from: https://www.ncbi.nlm.nih.gov/pubmed/35927948.
    • Davis SS, Noll D, Patel P, Maloney RT, Maddern GJ. Gastrectomy mortality in Australia. ANZ J Surg. 2022;92(9):2109-14. Available from: https://www.ncbi.nlm.nih.gov/pubmed/35180327.
    • Mao D, Rey-Conde T, North JB, Lancashire RP, Naidu S, Chua TC. Critical Analysis of the Causes of In-Hospital Mortality following Colorectal Resection: A Queensland Audit of Surgical Mortality (QASM) Registry Study. World J Surg. 2022;46(7):1796-804. Available from: https://www.ncbi.nlm.nih.gov/pubmed/35378596.
    • Young E, Kopunic HS, Trochsler MI, Maddern GJ. Predictors of interhospital transfer delays in acute surgical patient deaths in Australia: a retrospective study. ANZ J Surg. 2022;92(6):1322-31. Available from: https://www.ncbi.nlm.nih.gov/pubmed/35373494.
  • 2021
    • Mansour LT, Brien S, Reid J, Maddern GJ. Peri-operative Mortality Following Cholecystectomy in Australia: Potential Preventability of Adverse Events. World J Surg. 2021;45(3):681-9. Available from: https://www.ncbi.nlm.nih.gov/pubmed/33043383.
    • Fraser B, Rey-Conde T, Allen J, North JB. Surgeons' Responses to a Surgical Mortality Audit: Accepting and Improving: A Cross Sectional Survey. J Surg Res. 2021;266:306-10. Available from: https://www.ncbi.nlm.nih.gov/pubmed/34044174.
    • Ong YLR, Sambrook P, Maddern G. Oral squamous cell carcinoma resection and neck dissection mortality: a 10-year national audit study. ANZ J Surg. 2021;91(1-2):145-51. Available from: https://www.ncbi.nlm.nih.gov/pubmed/33244898.
    • Ong YLR, Tivey D, Huang L, Sambrook P, Maddern G. Factors affecting surgical mortality of oral squamous cell carcinoma resection. Int J Oral Maxillofac Surg. 2021;50(1):1-6. Available from: https://www.ncbi.nlm.nih.gov/pubmed/32773113.
    • Patiniott P, Reid J, Maloney RT, Karatassas A, Maddern G. Elective abdominal wall hernia repair surgical mortality-A systematic review of the literature and peer review of mortality in Australia. ANZ J Surg. 2021;91(7-8):1588-95. Available from: https://www.ncbi.nlm.nih.gov/pubmed/34125461.
    • Smith SM, Jacobsen JHW, Atlas AP, Khoja A, Kovoor JG, Tivey DR, et al. Telehealth in surgery: an umbrella review. ANZ J Surg. 2021;91(11):2360-75. Available from: https://www.ncbi.nlm.nih.gov/pubmed/34766688.
    • Treacy PJ, Rey-Conde T, Allen J, Maloney RT, North JB. The associations of factors with previous alcohol use in the Northern Territory compared to other states - an observational study. Aust N Z J Public Health. 2021;45(6):578-83. Available from: https://www.ncbi.nlm.nih.gov/pubmed/34473384.
    • Mansour LT, Brien S, Reid J, Maddern GJ. Peri-operative Mortality Following Cholecystectomy in Australia: Potential Preventability of Adverse Events. World J Surg. 2021;45(3):681-9. Available from: https://www.ncbi.nlm.nih.gov/pubmed/33043383
  • 2020
    • Salindera S, Brennan M. Development of the 'People-Processes-Paradigm' critical analysis tool for mortality and morbidity reviews: improving understanding of systems factors. ANZ J Surg. 2020;90(6):984-90. Available from: https://www.ncbi.nlm.nih.gov/pubmed/32418366.
    • Boyle FM, Allen J, Rey-Conde T, North JB. Learning from regret. Br J Surg. 2020;107(4):422-31. Available from: https://www.ncbi.nlm.nih.gov/pubmed/32077094.
    • Chan JCY, Gupta AK, Stewart SK, McCulloch GAJ, Babidge WJ, Worthington MG, et al. Mortality in Australian Cardiothoracic Surgery: Findings From a National Audit. Ann Thorac Surg. 2020;109(6):1880-8. Available from: https://www.ncbi.nlm.nih.gov/pubmed/31726036.
    • Galiabovitch E, Hansen D, Retegan C, McCahy P. Urinary tract stone deaths: data from the Australian and New Zealand Audits of Surgical Mortality. BJU Int. 2020;126(5):604-9. Available from: https://www.ncbi.nlm.nih.gov/pubmed/32654379.
    • Gupta AK, Stewart SK, Cottell K, McCulloch GAJ, Miller J, Babidge WJ, et al. Potentially avoidable issues in urology mortality cases in Australia: identification and improvements. ANZ J Surg. 2020;90(5):719-24. Available from: https://www.ncbi.nlm.nih.gov/pubmed/32106356.
    • Hansen D, Retegan C, Ismail A, McCahy P. Risk-adjusted hospital clinical management issue rates using data from the Victorian Audit of Surgical Mortality. ANZ J Surg. 2020;90(5):728-33. Available from: https://www.ncbi.nlm.nih.gov/pubmed/32338821.
    • McCahy P. Potentially avoidable urology mortality in Australia. ANZ J Surg. 2020;90(5):653. Available from: https://www.ncbi.nlm.nih.gov/pubmed/32421941.
    • McCahy P, Tayyaba I, Andrew M, Lim CMT, Pornkul P, Lay J, et al. Assessment of accuracy of Australian health service death data: implications for the audits of surgical mortality. ANZ J Surg. 2020;90(5):725-7. Available from: https://www.ncbi.nlm.nih.gov/pubmed/32190969.
    • Stevens CL, Reid JL, Babidge WJ, Maddern GJ. Peer review of mortality after hepatectomy in Australia. HPB (Oxford). 2020;22(4):611-21. Available from: https://www.ncbi.nlm.nih.gov/pubmed/31558369.
    • Stewart SK, Vu J, McCulloch GAJ. Necrotising fasciitis deaths in Australia: patient characteristics and potential areas for improvement in clinical management. ANZ J Surg. 2020;90(11):2329-33. Available from: https://www.ncbi.nlm.nih.gov/pubmed/32893425.
  • 2019
    • Turner RC, Simpson S, Jr., Bhalerao M. Systemic predictors of adverse events in a national surgical mortality audit: analysis of peer-review data from Australia and New Zealand Audit of Surgical Mortality. ANZ J Surg. 2019;89(11):1398-403. Available from: https://www.ncbi.nlm.nih.gov/pubmed/31480102.
    • Aitken RJ, Maddern GJ. Learning from death. ANZ J Surg. 2019;89(11):1355-6. Available from: https://www.ncbi.nlm.nih.gov/pubmed/31760697.
    • Chan JC, Gupta AK, Babidge WJ, Worthington MG, Maddern GJ. Technical factors affecting cardiac surgical mortality in Australia. Asian Cardiovasc Thorac Ann. 2019;27(6):443-51. Available from: https://www.ncbi.nlm.nih.gov/pubmed/31180721.
    • Chan JCY, Gupta AK, Stewart S, Babidge W, McCulloch G, Worthington MG, et al. "Nobody told me": Communication Issues Affecting Australian Cardiothoracic Surgery Patients. Ann Thorac Surg. 2019;108(6):1801-6. Available from: https://www.ncbi.nlm.nih.gov/pubmed/31254505.
    • Chen A, Vinluan J, Retegan C, McCahy P. Implementing error rate checks to improve the data quality in the Victorian Audit of Surgical Mortality. Comput Biol Med. 2019;106:40-5. Available from: https://www.ncbi.nlm.nih.gov/pubmed/30677602.
    • Davis SS, Babidge WJ, Kiermeier A, Maddern GJ. Regional versus metropolitan pancreaticoduodenectomy mortality in Australia. ANZ J Surg. 2019;89(12):1582-6. Available from: https://www.ncbi.nlm.nih.gov/pubmed/31334600.
    • Davis SS, Babidge WJ, McCulloch GAJ, Maddern GJ. Fatal flaws in clinical decision making. ANZ J Surg. 2019;89(6):764-8. Available from: https://www.ncbi.nlm.nih.gov/pubmed/30497100.
    • Ferrah N, Stephan K, Lovell J, Beiles CB, Ibrahim JE. Rural centres do not have a higher prevalence of post-operative complications than urban centres: a retrospective analysis of a mortality audit. ANZ J Surg. 2019;89(7-8):833-41. Available from: https://www.ncbi.nlm.nih.gov/pubmed/30790425.
    • Ghanem AI, Schymick M, Bachiri S, Mannari A, Sheqwara J, Burmeister C, et al. The effect of treatment package time in head and neck cancer patients treated with adjuvant radiotherapy and concurrent systemic therapy. World J Otorhinolaryngol Head Neck Surg. 2019;5(3):160-7. Available from: https://www.ncbi.nlm.nih.gov/pubmed/31750429.
    • Hansen D, Hansen E, Retegan C, Morphet J, Beiles CB. Validation of data submitted by the treating surgeon in the Victorian Audit of Surgical Mortality. ANZ J Surg. 2019;89(1-2):16-9. Available from: https://www.ncbi.nlm.nih.gov/pubmed/30497110.
    • Mthiyane T, Peter J, Allen J, Connolly C, Davids M, Rustomjee R, et al. Urine lipoarabinomannan (LAM) and antimicrobial usage in seriously-ill HIV-infected patients with sputum smear-negative pulmonary tuberculosis. J Thorac Dis. 2019;11(8):3505-14. Available from: https://www.ncbi.nlm.nih.gov/pubmed/31559057.
    • Stevens CL, Reid JL, Babidge WJ, Maddern GJ. Peer review of mortality after pancreaticoduodenectomy in Australia. HPB (Oxford). 2019;21(11):1470-7. Available from: https://www.ncbi.nlm.nih.gov/pubmed/30956163.
    • Young E, Stewart S, McCulloch GAJ, Maddern GJ. Appendicectomy mortality: an Australian national audit. ANZ J Surg. 2019;89(11):1441-5. Available from: https://www.ncbi.nlm.nih.gov/pubmed/31566305.
    • Aitken RJ, Maddern GJ. Learning from death. ANZ J Surg. 2019;89(11):1355-6. Available from: https://www.ncbi.nlm.nih.gov/pubmed/31760697.
    • Cloney T, Vinluan J, Chen A, Retegan C, McCahy P. Stakeholder's perceived value of surgical audit data provided by the Victorian Audit of Surgical Mortality. Health Inf Manag. 2021;50(1-2):55-63. Available from: https://www.ncbi.nlm.nih.gov/pubmed/31782316
  • 2017
    • Chen A, Retegan C, Vinluan J, Beiles CB. Potentially preventable deaths in the Victorian Audit of Surgical Mortality. ANZ J Surg. 2017;87(1-2):17-21. Available from: https://www.ncbi.nlm.nih.gov/pubmed/27758036.
    • Ferrah N, Ibrahim JE, Ranson DL, Beiles CB. Overview of surgical death investigations: could a dreaded experience be turned into an opportunity? ANZ J Surg. 2017;87(10):755-6. Available from: https://www.ncbi.nlm.nih.gov/pubmed/28975744.
    • Gupta AK, Stewart SK, Cottell K, McCulloch GA, Babidge W, Maddern GJ. Potentially avoidable issues in neurosurgical mortality cases in Australia: identification and improvements. ANZ J Surg. 2017;87(1-2):86-91. Available from: https://www.ncbi.nlm.nih.gov/pubmed/27072063.
    • Lui CW, Boyle FM, Wysocki AP, Baker P, D'Souza A, Faint S, et al. How participation in surgical mortality audit impacts surgical practice. BMC Surg. 2017;17(1):42. Available from: https://www.ncbi.nlm.nih.gov/pubmed/28424055.
    • Kiermeier A, Babidge WJ, McCulloch GAJ, Maddern GJ, Watters DA, Aitken RJ. National surgical mortality audit may be associated with reduced mortality after emergency admission. ANZ J Surg. 2017;87(10):830-6. Available from: https://www.ncbi.nlm.nih.gov/pubmed/28834217.
  • 2016
    • Hansen D, Retegan C, Woodford N, Vinluan J, Beiles CB. Comparison of the Victorian Audit of Surgical Mortality with coronial cause of death. ANZ J Surg. 2016;86(6):437-41. Available from: https://www.ncbi.nlm.nih.gov/pubmed/26017918.
    • Rey-Conde T, Shakya R, Allen J, Clarke E, North JB, Wysocki AP, et al. Surgical mortality audit data validity. ANZ J Surg. 2016;86(9):644-7. Available from: https://www.ncbi.nlm.nih.gov/pubmed/26686874.
    • Singla AA, Guy GS, Field JB, Ma N, Babidge WJ, Maddern GJ. No weak days? Impact of day in the week on surgical mortality. ANZ J Surg. 2016;86(1-2):15-20. Available from: https://www.ncbi.nlm.nih.gov/pubmed/26424504.
    • Singla AA, Guy GS, Field JB, Ma N, Babidge WJ, Maddern GJ. Response to Re: No weak days? Impact of day in the week on surgical mortality. ANZ J Surg. 2016;86(6):523-4. Available from: https://www.ncbi.nlm.nih.gov/pubmed/27252138.
    • Watters DA, Babidge WJ, Kiermeier A, McCulloch GA, Maddern GJ. Perioperative Mortality Rates in Australian Public Hospitals: The Influence of Age, Gender and Urgency. World J Surg. 2016;40(11):2591-7. Available from: https://www.ncbi.nlm.nih.gov/pubmed/27255941.
    • Rey-Conde T, Wysocki AP, North JB, Allen J, Ware RS, Watters DA. Clinical events reported by surgeons assessing their peers. Am J Surg. 2016;212(4):748-54. Available from: https://www.ncbi.nlm.nih.gov/pubmed/27090563.
  • 2015
    • Allen J, North JB, Wysocki AP, Ware RS, Rey-Conde T. Surgical care for the aged: a retrospective cross-sectional study of a national surgical mortality audit. BMJ Open. 2015;5(5):e006981. Available from: https://www.ncbi.nlm.nih.gov/pubmed/26009574.
    • Beiles CB, Retegan C, Maddern GJ. Victorian Audit of Surgical Mortality is associated with improved clinical outcomes. ANZ J Surg. 2015;85(11):803-7. Available from: https://www.ncbi.nlm.nih.gov/pubmed/25039277.
    • Raju RS, Guy GS, Majid AJ, Babidge W, Maddern GJ. The Australian and New Zealand Audit of Surgical Mortality-birth, deaths, and carriage. Ann Surg. 2015;261(2):304-8. Available from: https://www.ncbi.nlm.nih.gov/pubmed/24646530.
    • Wysocki AP, Allen J, Rey-Conde T, North JB. Mortality from acute appendicitis is associated with complex disease and co-morbidity. ANZ J Surg. 2015;85(7-8):521-4. Available from: https://www.ncbi.nlm.nih.gov/pubmed/25141762.
    • Wysocki AP, Allen J, Rey-Conde T, North JB. Analysis of deficiencies in care following cholecystectomy. J Visc Surg. 2015;152(4):217-22. Available from: https://www.ncbi.nlm.nih.gov/pubmed/26149251.
  • 2014
  • 2013
    • Azzam DG, Neo CA, Itotoh FE, Aitken RJ. The Western Australian Audit of Surgical Mortality: outcomes from the first 10 years. Med J Aust. 2013;199(8):539-42. Available from: https://www.ncbi.nlm.nih.gov/pubmed/24138379.
    • North JB, Blackford FJ, Wall D, Allen J, Faint S, Ware RS, et al. Analysis of the causes and effects of delay before diagnosis using surgical mortality data. Br J Surg. 2013;100(3):419-25. Available from: https://www.ncbi.nlm.nih.gov/pubmed/23225342.
    • Retegan C, Beiles CB. Response to re: evaluating the value and impact of the Victorian Audit of Surgical Mortality. ANZ J Surg. 2013;83(10):729. Available from: https://www.ncbi.nlm.nih.gov/pubmed/24099123.
    • Retegan C, Russell C, Harris D, Andrianopoulos N, Beiles CB. Evaluating the value and impact of the Victorian Audit of Surgical Mortality. ANZ J Surg. 2013;83(10):724-8. Available from: https://www.ncbi.nlm.nih.gov/pubmed/23855838.
  • 2012 and Earlier
    • Hughes CF, Fearnside M, Maddern GJ. Surgical audit - still an eccentric view? ANZ J Surg. 2010;80(12):864. Available from: https://www.ncbi.nlm.nih.gov/pubmed/21114725.
    • Semmens JB, Mountain JA, Sanfilippo FM, Barraclough JY, McKenzie A, Mukhtar SA, et al. Providers and consumers support the Western Australian Audit of Surgical Mortality. ANZ J Surg. 2006;76(6):442-7. Available from: https://www.ncbi.nlm.nih.gov/pubmed/16768765.
    • Semmens JB, Aitken RJ, Sanfilippo FM, Mukhtar SA, Haynes NS, Mountain JA. The Western Australian Audit of Surgical Mortality: advancing surgical accountability. Med J Aust. 2005;183(10):504-8. Available from: https://www.ncbi.nlm.nih.gov/pubmed/16296962

Guidelines

Assessment Guideline (PDF 269.48KB) (PDF 269.48KB) 

National reports

This report is based on the activities and outcomes since 2009. Aggregating information from multiple regions over time will allow identification of emerging trends in surgical care. The aim is to identify any system or process errors and develop strategies to redress these.
ANZASM 2025 National Report | 2025 Infographic (PDF 224.74KB)
ANZASM 2023-2024 National Report | 2023-2024 Infographic (PDF 225.2KB)
ANZASM 2021 to 2022 National Report (PDF 2.56MB)
ANZASM 2019 to 2020 National Report (PDF 1.12MB)
ANZASM 2017 to 2018 National Report (PDF 1.93MB)
ANZASM 2016 National Report (PDF 8.12MB)
ANZASM 2016 National Report Media Release (PDF 154.96KB)
ANZASM 2015 National Report (PDF 3.23MB)
ANZASM 2015 National Report Media Release (PDF 123.27KB)
ANZASM 2014 National Report (PDF 3.79MB);
ANZASM 2014 National Media Release (PDF 29.99KB)
ANZASM 2013 National Report (PDF 10.35MB)
ANZASM 2012 National Report (PDF 2.32MB)
ANZASM 2011 National Report (PDF 1.92MB)
ANZASM 2010 National Report (PDF 1.83MB)
ANZASM 2009 National Report (PDF 3.51MB)

An erratum has been issued for the ANZASM 2011 Report. Figure 34, page 39: The percentage of consultant involvement by region performing surgery in region 8 was incorrect. The figures for this region has been correctly revised and should be replaced in the report by the following pdf: ANZASM 2011 Annual Report page 39 (PDF 386.75KB).

Publications

2023

Potentially avoidable mortality after endoscopic retrograde cholangiopancreatography in Australia: an 8-year qualitative analysis, ANZ J Surg, May 2023
Reflections: Preventable Mortality Following Esophago-Gastric Cancer Resection, Ann Surg Oncol, May 2023
Understanding Potentially Preventable Mortality Following Oesophago-Gastric Cancer Surgery: Analysis of a National Audit of Surgical Mortality, Ann Surg Oncol. May 2023
Surgical interhospital transfer mortality: national analysis, Br J Surg, April 2023
Analysis of potential clinical management issues in unreported mortality data from an Australian health service, ANZ J Surg, March 2023

2022

Unexpected deaths after endocrine surgery: learning from rare events using a national audit of surgical mortality, Br J Surg, October 2022
Predictors of interhospital transfer delays in acute surgical patient deaths in Australia: a retrospective study, ANZ J Surg, June 2022

2021

Elective abdominal wall hernia repair surgical mortality-A systematic review of the literature and peer review of mortality in Australia, ANZ J Surg, July 2021
Peri-operative Mortality Following Cholecystectomy in Australia: Potential Preventability of Adverse Events, World J Surg, Mar 2021

2020

Necrotising fasciitis deaths in Australia: patient characteristics and potential areas for improvement in clinical management, ANZ J Surg, Sep 2020
Screening and Testing for COVID-19 Before Surgery, ANZ J Surg, Aug 2020
Factors affecting surgical mortality of oral squamous cell carcinoma resection, Int J Oral Maxillofac Surg, Aug 2020
Urinary tract stone deaths: data from the Australian and New Zealand Audits of Surgical Mortality, BJU Int, July 2020
Development of the 'People-Processes-Paradigm' critical analysis tool for mortality and morbidity reviews: improving understanding of systems factors, ANZ J Surg, June 2020
Victoria's perioperative response to the COVID‐19 pandemic, ANZ J Surg, June 2020
Mortality in Australian Cardiothoracic Surgery: Findings From a National Audit, Ann Thorac Surg, June 2020
Potentially avoidable urology mortality in Australia (PDF 51.61KB) (PDF 51.61KB), ANZ J Surg, May 2020
Peer review of mortality after hepatectomy in Australia, HPB (Oxford), April 2020
Risk-adjusted hospital clinical management issue rates using data from the Victorian Audit of Surgical Mortality (PDF 800.06KB) (PDF 800.06KB). ANZ J Surg, March 2020
Potentially avoidable issues in urology mortality cases in Australia: identification and improvements, ANZ J Surg, Feb 2020
Assessment of accuracy of Australian health service death data: implications for the audits of surgical mortality (PDF 210.87KB) (PDF 210.87KB), ANZ J Surg, Feb 2020 

2019

Peer review of mortality after pancreaticoduodenectomy in Australia, HPB (Oxford), November 2019
Learning from Regret, BJS November 2019
Editorial: Learning from death, ANZ J Surg, November 2019
Rural centres do not have a higher prevalence of post-operative complications than urban centres: a retrospective analysis of a mortality audit, ANZ J Surg, July 2019
Systemic predictors of adverse events in a national surgical mortality audit: analysis of peer‐review data from ANZASM, ANZ J Surg, July 2019
Stakeholder’s perceived value of surgical audit data provided by the Victorian Audit of Surgical Mortality (PDF 384.58KB) (PDF 384.58KB), Health Information Management Journal, December 2019
"Nobody told me": Communication issues affecting Australian cardiothoracic surgery patients, Ann Thorac Surg, June 2019
Implementing error rate checks to improve the data quality in the VASM (PDF 899.03KB) (PDF 899.03KB), Computers in Biology and Medicine, January 2019

2018

Perioperative Mortality Following Oesophagectomy and Pancreaticoduodenectomy in Australia, World J Surg, 2018
Validation of data submitted by the treating surgeon in the VASM (PDF 225.9KB) (PDF 225.9KB), ANZ J Surg, November 2018
Post‐mortem general surgeon reflection on decision‐making: a mixed‐methods study of mortality audit data,  ANZ J Surg, August 2018
Deaths in Incorrectly Identified Low-Surgical-Risk Patients, World J Surg. July 2018
Measuring Outcomes of Clinical Care: Victorian Emergency Laparotomy Audit Using Quality Investigator, World J Surg. July 2018 

Fracture Neck of Femur in the very elderly patient (PDF 2.43MB) (PDF 2.43MB), QASM, Royal Australasian College of Surgeons 2018
Processes of care in surgical patients who died with hospital-acquired infections in Australian hospitals, Journal of Hospital Infection, May 2018
Snapshot of trauma laparotomy deaths in Queensland, ANZ J Surg, January 2018

2017

Overview of surgical death investigations: could a dreaded experience be turned into an opportunity? (PDF 206.93KB) (PDF 206.93KB) ANZ J Surg, October 2017
Infections and NTASM Patients July 2010 - June 2017 (PDF 5.3MB) (PDF 5.3MB), NTASM, Royal Australasian College of Surgeons 2018
How participation in surgical mortality audit impacts surgical practice, BMC Surgery, 2017
A national surgical mortality audit may be associated with reduced mortality after emergency admission, ANZ J Surg, February 2017

2016

Potentially preventable deaths in the Victorian Audit of Surgical Mortality (PDF 288.29KB) (PDF 288.29KB), ANZ Journal of Surgery, October 2016
Perioperative Mortality Rates in Australian Public Hospitals: The Influence of Age, Gender and Urgency, World J Surg June 2016
Clinical events reported by surgeons assessing their peers, Am J Surg, May 2016
Potentially avoidable issues in neurosurgical mortality cases in Australia, ANZ J Surg, April 2016
No weak days -impact of day in the week on surgical mortality, ANZ J Surg, January 2016

2015

Surgical mortality audit data validity (PDF 87.78KB) (PDF 87.78KB), ANZ J Surg, November 2015
Comparison of the Victorian Audit of Surgical Mortality with coronial cause of death (PDF 217.92KB) (PDF 217.92KB), ANZ J Surg, May 2015.
Surgical care for the aged: a retrospective cross-sectional study of a national surgical mortality audit, BMJ Open, April 2015
The Australian and New Zealand Audit of Surgical Mortality-birth, deaths, and carriage, Ann Surg, February 2015

2014

Outcomes from the Northern Territory Audit of Surgical Mortality: Aboriginal deaths, ANZ J Surg, November 2014
Mortality Audit of Octogenarians With Acute Cholecystitis, ANZ J Surg, August 2014
Clinical management issues vary by specialty in the VASM: a retrospective observational study, BMJ Open, June 2014
VASM is associated with improved clinical outcomes, ANZ J Surg, June 2014
Mortality from acute appendicitis is associated with complex disease and co-morbidity, ANZ J Surg, July 2014

2013

Evaluating the value and impact of VASM, ANZ J Surg, June 2013

2012

Analysis of the causes and effects of delay before diagnosis using surgical mortality data, British Journal of Surgery, December 2012
Teleconference fracture clinics: a trial for rural hospitals (PDF 934.14KB) (PDF 934.14KB), ANZ J Surg, 2012