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




