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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
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