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Preparing to introduce a clinical audit

Whilst easy-to-use software and computer linkages are essential to any clinical audit, it is not solely about software. We recognise there is also the important human element of data gathering in the wards and operating theatres, the verification procedure, and organisation of peer review (morbidity and mortality) meetings.

We offer the support needed to ensure a successful audit process:

  • Clinician training in the audit process
  • Resources for performing peer review
  • Overarching programme support
  • Easy to understand reporting process and reports
  • User-friendly software

Establishing the clinical audit process

We can guide you in all aspects including:

  • Establishment of the relevant dataset and reports required
  • Setting up the process for the data collection
  • Verification and analysis of data
  • Providing a forum for evaluation of the reports generated
  • Assist with integrating the whole system into the day-to-day work of an active surgical department

The process

  • Defining the dataset
  • Capturing the data
  • Verifying the data and 'signing off' the dataset
  • Reporting, peer review, and peer review actions
  • Implementing an audit system
  • Privacy, ownership, and assignment of data


  • Improved patient outcomes
  • Identifies areas for improvement
  • Promotes open discussion amongst peers
  • Drives positive change
  • Reduces cost
  • Enhances systems
  • Supports high-quality surgery

Reports generated by clinical audit

Standard reports include:

  • Peer review:
    • KPI information
    • Mortality and morbidity (including patient surgical history)
    • Variance report
    • Case mix
    • Discussion points
  • Colorectal Society uploads
  • Australian Council of Health Standards (ACHS) uploads
  • Incomplete records
  • Procedure data extracts
  • RAW data searches
  • Records to be validated

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