Presentation by Dr Matthew Bridge, Anaesthetic Consultant and Dr Nick Lown University of Liverpool, Consultant Anaesthetist and Perioperative Medicine Lead, Aintree University Hospital Foundation Trust, Manchester University Hospital NHS Foundation Trust at the Emergency Laparotomy Collaborative, 13 November 2018 at Bolton Whites Hotel.

1. The
Liverpool
approach
to NELA
Dr Nick Lown and Dr Matthew Bridge

3. Can we improve our
laparotomy service?

4. The Challenge
We are disconnected
from our data.

5. The solution
Make data collection
easy.
Feed the data back.

6. National Emergency
Laparotomy Audit
Jamtvedt et al 2012
• Feedback frequency
• Temporal proximity
• Written feedback
• Benchmarks
• Source: senior colleague
• Information about correct
actions

7. Mersey Intubation
Checklist Project

8. Our approach to NELA
• Mobile app – collect data from
multiple sites
• Expand across sites – increased
data sharing
• Automatic data aggregation
• Automatic integration with data
visualisation application
Realtime laparotomy data

9. Our setup
Anonymisation
Anaesthetist
Surgeon
NELA lead
Data storage
/ processing
Data visualisation
Data interface app
Partner
hospitals
NELA output
NELA PDF

10. Information Governance (2)
Anonymisation
code book

11. Bad example

12. Our dashboard

13. Surgeon presence
PresentNotpresent
Somewhere Hospital

14. Is data all you
need?

16. National Emergency
Laparotomy Audit

17. National Emergency
Laparotomy Audit

18. summary
• Feedback frequency
• Temporal proximity
• Benchmarks
• Teamwork assessment tool