SCOTTISH AUDIT OF SURGICAL MORTALITY

SASM Documentation and Programs

 
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Forms
for completion by medical personnel are available here. Please click on the relevant form to download
Format / Title
Size
Surgical Form
120kb
Anaesthetic Form
123kb
Orthopaedic Form 121kb
Neurosurgical Form
154kb
Paediatrics Form
201kb
Surgical Assessor's Form
42kb
Anaesthetic Assesor's Form
42kb
Surgical Co-ordinator re-assesment 44kb
Anaesthetic Co-ordinator re-assessment 43kb
ICU Pro forma
42kb
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Proformas for each relevant death are sent to the Consultants involved. The surgical and anaesthetic pro forma are sent to the Consultant Surgeon who is asked to complete the surgical pro forma and return this to the relevant office. He / she then forwards the anaesthetic pro forma to the appropriate Consultant Anaesthetist who completes his / her form and returns it to the office. For operative deaths the entire surgical pro forma is completed by the surgeon. In non-operative cases a limited data set is collected.

The proformas are anonymised on receipt in the appropriate office. They are then assessed by a consultant surgeon and anaesthetist and an assessment form completed. If either assessor believes that lessons may be learned from the case, or if the treatment was considered to be sub-optimal, the case notes are requested. These are then passed to another consultant who is asked to complete a detailed case note assessment. This process is undertaken in approximately 15% of cases. The resulting assessment is then returned to the Consultants involved in the case. This part of the process is not anonymous but remains highly confidential.

Finally all identifying data such as names of patients, hospitals, dates, etc are removed from the reports which are then collated in booklets and distributed to all consultants and trainees at intervals. The diagnosis on admission, confirmed diagnosis, types of operations and cause of death are READ 2 coded and all the factual data are then entered into the database.


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Adverse Events in Management Codes

We have developed a coding system for "Adverse Events in Management" based on the READ2 structure as we were unaware of any similar coding system. Anyone interested in this would be welcome to a copy of our codes which are under constant review and improvement.

Download the Microsoft Access 97 Database Search Program for Adverse Factors in Management Codes 318kb

If you have any problems or would like more information on these click here and contact SASM



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