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 2017 to End of March 2018

 

Review Field

Number

%

Read codes

2A

Number of patients who had minor surgery excision and Incision recorded in last 12 months

66

 

 

987A.  Minor surgery done – excision

9879.  minor surgery done - Incision

2B

Of 2A patients in whom excised material was sent for histology 

 

 

 

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 or manual)

57

100%

9ND7. Histopathology report received

2D

Of 2C patients in whom a malignancy reported

(see note below)

5

8.8%

B33..% Other malignant neoplasm of skin

B33..11   Basal Cell Carcinoma

B338.  Squamous cell carcinoma of skin

B32..%   Malignant Melanoma of Skin

 

2E

Of 2D patients in whom a lesion was fully excised

3

 

4K15. Excision – Clear margin

4K16. 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

SP230 Operation wound dehiscence

 

2G

Patients with malignancy referred for plastic surgery James Cook Hospital

5

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