Department ENT/Head &

Neck Surgery

Clinical Audit

Tania Duncan RN,MN

Clinical Data Manager

ENT service within Monash Health

Introduction

WebQi

The ENT Clinical Audit Project

• Project introduction

• Generation of electronic operation reports

• Additional projects added based on unit activity and need

• Now utilised for admission/consultation/dischargesummaries

• Monthly, annual and snapshot audits

Audit framework

• Taken from Royal Australasian College of Surgeons (RACS)

• Surgical Audit

• Clinical review

• Research

• Data points from RACS minimum and extended data set

• Dataset created and modified based on clinical need

Access

Viewing the project

Data entry

• Patient details

• Surgeon

• Diagnosis

• Procedures

• Post-Surgery

• Discharge

Data retrieval

Finding the data

Cleaning data

Cleaning data

Just give me the numbers!

Comparison

27

3234

65

50

15

0

10

20

30

40

50

60

70

2010-2011 2011-2012 2012-2013 2013-2014 2014-2015 2015-2016

ENT ProcedureWebQi (All)

29

3835

72

50

15

An ENT ProcedureBusiness IntelligenceTheatre Datasets (All)

2010-11 2011-12 2012-13 2013-14 2014-15 2015-16

Final Product

• Monthly (week 2) Thursday evening audit

• Expectation for all consultants and registrars to attend

• Changes to presentation structure

• Same registrar leads audit

• May appoint a "slave" to assist in clinical review

• Clinical Review case introduced

• Snacks

• Improved teaching and networking opportunity

• Helps put meaning to the data entry

Head and Neck: Endoscopic

Procedure Casey Clay Dand Moor Total

Bronchoscopy• As independent procedure• +/- biopsy• Removal of foreign body• Dilatation of stenosis

(35)201104

(51)274

137

(4)3010

(66)2615

124

(156)76301535

Micro-laryngosocopy *• laryngoscopy +/- representative

biopsy• excision of lesion with microsurgery• Micro-laryngoscopy/ micro-

laryngoscopy and laser/ micro-laryngoscopy and diathermy

(171)

564273

(59)

348

17

(28)

1413

(281)

10762112

(529)

211113

205

Oesophagoscopy • +/- biopsy• foreign body

5014

1014

117

1131

18436

Finance Report

BRONCHOSCOPY –Removal of foreign bodies from airways in 2014/15 = $4.45

Nut report

Most popular nuts in SE Melbourne by inhalation

0

0.5

1

1.5

2

2.5

3

3.5

cashew almond peanut nut NOS

Nuts

What would add a smile to my

dial?

• Additions/removals within dataset

• Increase clinician based auditing – embracing the inner data nerd

• Fine tune data governance

Thank you

Contact details

tania.duncan@monashhealth.org

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