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.
Discover inclusion and exclusion criteria
DISCOVER: Which patients should be
included and how to find them
30 day follow
• Any adult pt undergoing surgery on the GI
tract from oesophagus to the rectum and anus
• Any surgical approach
• Emergency/Elective surgery with ≥1 nights
stay in hospital
• Minor anorectal- EUA/Haemorrhoids
• Vascular, Urological and Transplant
• Diagnostic- staging laparotomy etc
• Interventional Radiology- CT guided drainage
• Daily elective theatre lists
• Handover sheets/ emergency admission and
• Theatre logbooks (both elective and
• Inpatient notes to identify in-hospital
• Clinic notes and clinic letters, if seen in clinic by
• Electronic systems and handover lists for re-admissions.
• Search for A&E re-attendances.
• 60 year old male- elective wedge resection of
Ca Bowel. 3/7 stay
• 24 year old- emergency laparotomy for gastric
band slippage. 5/7 stay.
• 21 year old- elective day- case Inguinal Hernia
• 70 year old- elective oophorectomy with
hartmanns procedure for Ovarian Ca. 1/52