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8

Hospital

participation

Online interface

usage

100%

90%

54%

65%

RANZCOG

surgeon participation

RACS

surgeon participation

58% closed

36% excluded

(Terminal care/Medical

care/Lost of follow up)

6% pending

reponse

Compliance status

No surgical complications

2007-2008: 65%

2014-2015: 69%

Transfer issues

2007-2008: 13%

2014-2015: 9%

Delays

2007-2008: 22%

2014-2015: 8%

DVT errors

2007-2008: 4%

2014-2015: 4%

Return to theatre

2007-2008: 16%

2014-2015: 12%

Critical care use

2007-2008: 46%

2014-2015: 64%

20%

delays

16%

protocol issues

15%

operative management issues

8%

communication issues

6%

postoperative infections

2%

critical care management issues

Main clinical management issues

n=2,122 issues in 6,179 audited cases

Clinical risk management

n=6,179 audited cases

Continuous improvements in clinical risk management

65%

no issues

21%

consideration

9%

concern

5%

AE

Peer review assessed issues

Main causes of death

13%

cardiac events

11%

multiple organ

failure

11%

septicaemia

Reported deaths 10,607

Key areas for action

Participation status