Discover inclusion and exclusion criteria
•Descargar como PPTX, PDF•
1 recomendación•15,580 vistas
Inclusion and Exclusion Criteria for STARSurg DISCOVER project 2014
Recomendados
Más contenido relacionado
La actualidad más candente
La actualidad más candente (20)
Similar a Discover inclusion and exclusion criteria
Similar a Discover inclusion and exclusion criteria (20)
Más de STARSurg
Más de STARSurg (13)
Último
Último (20)
Discover inclusion and exclusion criteria
- 1. DISCOVER: Which patients should be included and how to find them Mike Kelly
- 2. When Mini Team Period 1: 1/10- 15/10 OR Period 2: 15/10- 29/10 OR Period 3: 29/10-12/11 30 day follow up
- 3. What • Any adult pt undergoing surgery on the GI tract from oesophagus to the rectum and anus including HPB • Any surgical approach • Emergency/Elective surgery with ≥1 nights stay in hospital
- 4. What not • Minor anorectal- EUA/Haemorrhoids • Trauma • Vascular, Urological and Transplant • Diagnostic- staging laparotomy etc • Interventional Radiology- CT guided drainage
- 6. Where • Daily elective theatre lists • Handover sheets/ emergency admission and ward lists. • Theatre logbooks (both elective and emergency).
- 7. Follow up • Inpatient notes to identify in-hospital complications. • Clinic notes and clinic letters, if seen in clinic by 30 days. • Electronic systems and handover lists for re-admissions. • Search for A&E re-attendances.
- 8. Example 1 • 60 year old male- elective wedge resection of Ca Bowel. 3/7 stay
- 9. Example 2 • 24 year old- emergency laparotomy for gastric band slippage. 5/7 stay.
- 10. Example 3 • 21 year old- elective day- case Inguinal Hernia repair
- 11. • 70 year old- elective oophorectomy with hartmanns procedure for Ovarian Ca. 1/52 stay
Notas del editor
- Tips get friendly with junior doctors on surgical wards. Explain to them what you’re doing, they will almost certainly help. They will also be clued into exactly what is going on in the ward. Also Theatre admin staff. Audit confirmation and name-drop any consultant backing
- Inpatient notes handiest but remember a small minority of pts will stay for 30+ days or more EDMS type systems- clinic letters R/v of ward lists should allow you to spot re-attending pts. A method of I have used especially for id’ing AED attendances is to search recent blood results- the dates of which can follow up on Perhaps the most sensitive way of detecting complications is by the patients or by patient GPs. If and only if the named consultant gives permission the 30-day phone call. Patient info sensitive and should be protected. Call from a hospital and use the script provided.