Is day surgery safe in district general hospital? Audit of general surgical procedures in district general hospital

Abstract

Background: An Audit is a quality improvement process where we seeks to improve standard of care of our patients and also improve the post-operative outcomes through systematic review of our work. Objective of this study was to find out the complications and readmission after a Day surgical procedures done by a single surgeon's services. Methods:All the patients presented in the surgical Day unit at Trafford General Hospital from January 2016 to June 2016. Detail of all surgical patients admitted during the period was recorded from the theatre register. Demographic data, mode of admission, diagnosis and outcomes were recorded on a pro forma. The Operations included are Laparoscopic cholecystectomy, Hernia repair and anal canal surgery. We collected the data for readmission and any complications. Results:The total number 145, (100 males and 45 females) Age between 25-86 years. Total number of patients had laparoscopic cholecystectomy were 42 (29 female and 13 male). Three (3) patient transferred to Manchester Royal Infirmary for pain out of 42. Total number of patients had hernias 82 (57 male & 25 female). Total number of patients had hernias 21 (14 male & 7 female). No complication found, 3 (0.2%) readmission and 1 (0.68%) death with 28 days due to cardiac cause in a 85 years old male. Overall mortality was estimated as 0.68%.Conclusions: This surgical audit showed that day surgery is safe in a district hospital. Each Surgeon should do the self evaluation in a view to improve the quality of our health care system.