Minor Surgery Audit
Audit – Minor Surgery Excisions and Outcomes
Criteria: for each patient reviewed the following activity has occurred and has been recorded;
- All excised tissue sent for histological analysis ● Histology test result received and recorded
- Malignancy identified by biopsy is recorded ● Post operative wound complications
Data Summary Audit Period : April 2018 to End of March 2019
|
|
Review Field |
Number |
% |
Read codes |
|
2A |
Number of patients with a latest minor surgery who had minor surgery excision and Incision recorded in last 12 months |
94 |
|
987A. Minor surgery done – excision
|
|
2B |
Of 2A patients in whom excised material was sent for histology
|
84 |
89% |
4K11. Tissue sent for histology 4K12. Specimen sent for histology |
|
2C |
Of 2B patients in whom a histology result has been received and recorded in the patients record (electronic ) |
84 |
89% |
9ND7. Histopathology report received |
|
2D |
Of 2C patients in whom a malignancy reported (see note below) |
1 (BCC) |
8.8% |
Xa98G Basal Cell Carcinoma X78RR Squamous cell carcinoma of skin B32..% Malignant Melanoma of Skin
|
|
2E |
Of 2D patients in whom a lesion was not fully excised |
1 |
|
XaCF8 Excision – Clear margin XaMJl Excision – Incomplete |
|
2F |
Of 2A patients seen with a wound complication within 1 month of the minor surgery excision |
0 |
|
SP255 Post-operative wound infection unspecified
|
|
2G |
Patients with malignancy referred for plastic surgery James Cook Hospital |
1 |
100% |
|
NOTE: in cases of diagnostic uncertainty it may occasionally be appropriate to biopsy the lesion for confirmation of diagnosis before deciding the definitive treatment. Suspected melanomas must not be biopsied but referred to dermatology
Page created: 22 July 2019