National Emergency Laparotomy Audit - Local Data Analysis Summary
National Emergency Laparotomy Audit
The 4
th
report
XXXXXXXXXXX Hospital
Please edit/delete slides for your own local use as required; these slides aim to support local teams in
presenting their own data to multidisciplinary teams
INSTRUCTIONS FOR USE
•
This slide-set was designed to be modified for presentation of
local NELA data to facilitate local QI work
•
Local NELA data is available to all with administrator
privileges, via data.nela.org.uk
•
Locations for entry of local NELA data in this slide-set can be
identified by searching ‘xx’
•
Locations for AHSN regional data in this slide-set can be
identified by searching for ‘yy’
•
The relevant column in the accompanying spreadsheet for this
data is shown in the notes part for each slide
•
To view the notes part below each slide – click on ‘View’ tab
and select ‘Normal’
RAG ratings
•
NELA uses the following key to allocate a RAG rating for the proportion of patients for which each
process of care was met:
•
Green 85–100% - this has increased from 80% for ALL metrics this year*
•
Amber 55–84%
•
Red 0–54%
•
Grey Data unavailable
*This means there may appear to have been a fall in the quality of care by RAG rating although in
some cases the number may have been improved from last year.
In the subsequent tables, it is helpful to “fill” the cell with the relevant colour to show the level of
achievement.
Index of slides (search xx or yy to find where
your local/regional data needs to be inputted)
•
3,4 Introduction
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5-9 National/local outcomes; mortality, length of stay
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12 key standards reported in NELA
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13,14 – case ascertainment
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15 – 19 radiology
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20 – 31 key process measures
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32-36 data to support shared decision making, national long term
outcomes & other quality measures
4th NELA report; 23,949 patients
•
NELA Database now >100,00 patients in total
•
4
th
Report published November 2018
Mortality: National
Mortality: National
National 30 day risk
adjusted mortality = 9.5%
Mortality: National
National 30 day risk
adjusted mortality = 9.5%
Local 30 day risk adjusted
mortality = XX %
Length of Stay: National
National LoS = 15.6 days
Length of Stay: National
National LoS = 15.6 days
Local LoS = XX days
4
th
NELA report – the key standards
Data Ascertainment: National
National case ascertainment – 82.7%
Data Ascertainment: National
Hospital case ascertainment = XX %
Regional case ascertainment = YY %
CT Reported before Surgery: National
National results = 64.4%
CT Reported before Surgery: local
Local results = XX %
Regional results = YY %
CT Discrepancy Rates: National
CT Discrepancy Rates: National
Overall discrepancy rate = 5.3%
CT Discrepancy Rates: Local
Overall discrepancy rate = 5.3%
Local discrepancy rate = XX%
Regional discrepancy rate = YY%
Preop Risk Assessment: National
Preop Risk Assessment: Local
Local preoperative risk
assessment = XX%
Regional preoperative
risk assessment = YY%
National preop risk assessment = 74.6%
Arrival to Theatre: National
Arrival to Theatre: National v Local
Local hospital arrival in a
timescale appropriate to
surgery = XX%
Regional = YY%
National arrival in a timescale
appropriate to surgery = 82.5%
Preop Consultant Input: National
Preop Consultant Input
Consultant Presence In Theatres: National
Consultant Presence In Theatres:
Post op Critical Care: National
Post op Critical Care: Local
Geriatric Review: National
National Mean = 22.9% of patients were
seen by geriatricians
Geriatric Review: Local results
Local geriatric reviews
(proportion of patients) =
XX%
Regional = YY%
Data to support shared
decision making
Long-Term Mortality
Discharge Destination
Antibiotics in Suspected Sepsis
Route of Admission & Admitting Specialty
Unplanned Events
Thank You
To everyone involved in caring for patients
undergoing emergency laparotomy
To everyone involved in collecting the data
This presentation provides insights from the 4th National Emergency Laparotomy Audit report, focusing on key findings such as mortality rates, length of stay, data ascertainment, and CT reporting rates. Local teams can customize the data for their own presentations to multidisciplinary teams. The report highlights national statistics and encourages comparison with local outcomes to drive improvements in patient care.
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Presentation Transcript
National Emergency Laparotomy Audit The 4threport XXXXXXXXXXX Hospital Please edit/delete slides for your own local use as required; these slides aim to support local teams in presenting their own data to multidisciplinary teams
4th NELA report; 23,949 patients NELA Database now >100,00 patients in total 4thReport published November 2018
Mortality: National National 30 day risk adjusted mortality = 9.5%
Mortality: National National 30 day risk adjusted mortality = 9.5% Local 30 day risk adjusted mortality = XX %
Length of Stay: National National LoS = 15.6 days
Length of Stay: National National LoS = 15.6 days Local LoS = XX days
Data Ascertainment: National National case ascertainment 82.7%
Data Ascertainment: National Hospital case ascertainment = XX % Regional case ascertainment = YY %
CT Reported before Surgery: National National results = 64.4%
CT Reported before Surgery: local Local results = XX % Regional results = YY %
CT Discrepancy Rates: National Overall discrepancy rate = 5.3%
CT Discrepancy Rates: Local Overall discrepancy rate = 5.3% Local discrepancy rate = XX% Regional discrepancy rate = YY%
Preop Risk Assessment: Local National preop risk assessment = 74.6% Local preoperative risk assessment = XX% Regional preoperative risk assessment = YY%
Arrival to Theatre: National v Local National arrival in a timescale appropriate to surgery = 82.5% Local hospital arrival in a timescale appropriate to surgery = XX% Regional = YY%
Preop Consultant Input National 85.7% 95.4% Local XX XX XX XX Regional YY YY YY YY Both Surgeon Anaesthetist 88.8% Intensivist (risk>10%) 67.5%
Consultant Presence In Theatres: National Local 82.5% 92.3% 88% Regional YY yy yy Both Surgeon Anaesthetist XX XX XX
Post op Critical Care: Local National 79.3% Local XX Regional yy Admission if risk >5% Admission if risk >10% 86.8% XX yy
Geriatric Review: National National Mean = 22.9% of patients were seen by geriatricians
Geriatric Review: Local results Local geriatric reviews (proportion of patients) = XX% Regional = YY%
Data to support shared decision making
Thank You To everyone involved in caring for patients undergoing emergency laparotomy To everyone involved in collecting the data
