Developing Surgical Audit Database to Measure Performance and Outcome of Surgical Services

Ahmed G. El-Sharkawy*, Ashraf H. Ghaleb*, MD; Tarek A. Said**, MD; Mohamed H. Fahmy*, MD; Mamdouh Abu El-Hassan***, MD; Omar S. Omar, MD* & Dina S. Omar. MD****.

* Departments of General Surgery, ** Plastic Surgery, *** Pediatric Surgery, & **** Pediatrics, , Faculty of Medicine , Cairo University

Presented in the 1st Scientific Conference of the Medical Education development Center (MEDC) Faculty of Medicine (Kasr Al-Ainy), Cairo University “Medical Education Between Reality and Expectation”

Surgical services at the Department of General Surgery, Cairo University has long been going without an objective method for measuring its outcomes. Outcomes of surgical services includes outcomes of surgical management of patients, outcomes of residency training programs as well as measuring staff members participation at different levels.

The aim of developing a surgical audit database was to determine different outcomes at different disciplines of surgical practice and services. Different studies and review articles related to surgical audit and residency training programs were reviewed. A Medical Information Technology Committee was developed in the Surgery Department including all disciplines and representatives from all specialties.

Information were gathered and a database was developed. All information related to patient management were included; e.g. personal information, present and past history of disease, detailed information about patient management, ASA categories, Morbidity and Mortality as well as information about the surgical team involved in the patient management. The database was also designed as web-based that is easily accessible without LAN infrastructure. All stored data is retrieved easily and converted to Excel format enabling us to conduct more statistical analysis, reporting  and any correlation studies required. Training our junior staff and residents on data entry until establishing a medical secretary training program was also done. More than 200 patient records were filed and reports were provided to the head of surgical unit. Future implementation in all surgical units will be accomplished during 2013. We concluded that, developing a locally customized database is feasible and applicable at low cost. It is essential to develop medical secretary program. Applying continuous surgical audit will improve the quality and safety of our patients and that is our ultimate goal.