Improving the outcomes of foot and ankle surgery through the audit cycle : a case study

Hermann, Rob, Bennett, Paul, & Gallegos, Danielle (2011) Improving the outcomes of foot and ankle surgery through the audit cycle : a case study. In Australasian Podiatry Council Conference 2011, 26-29 April 2011, Melbourne, Australia.

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The direct costs of managing adverse outcomes from Australian health care are estimated to be $2 billion. The audit cycle is considered an important tool to assist in the preventive management of adverse outcomes.Australian guidelines for audit cycle design allow for comparison of data sets derived from similar surgical specialities. However a lack of data set standardisation inhibits meaningful comparisons of foot and ankle surgical audits. This research will assist development of a best practice model for auditing foot and ankle surgery. Data derived from this model will improve the safety and quality of foot and ankle surgery. The preliminary phase of this process is to identify and understand the attitudes and behaviours of how and why surgeons participate in the audit cycle. A descriptive embedded multiple case study research design is planned to provide an intense focus on a single phenomenon (the audit cycle) within its real life context (clinical governance). The measures to be included in the case study have been identified by the Balanced Patient Safety Measurement Framework. These include: audit and peer review activity, provider attitudes to patient safety, safety learning, action and performance. A purposive sample of 6 to 8 surgeons (units of analysis) from 3 to 4 specialities (cases) will undergo semi-structured interview. This will investigate: current audit tools and processes; attitudes; and behaviours of surgeons to the audit cycle. Similarities in and differences between the units of analysis will indicate which identified measures function as barriers or enablers of the audit cycle. Reliability and validity (external and construct) will be assessed using established methods for case studies. The descriptive embedded multiple case study will reveal how and why foot and ankle surgeons participate in the audit cycle. This will inform further research to improve the outcomes of foot and ankle surgery through development of an audit tool.

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ID Code: 75887
Item Type: Conference Item (Presentation)
Refereed: Yes
Additional Information: Journal of Foot and Ankle Research 2011, 4(Suppl 1):O21. Proceedings of the Australasian Podiatry Council Conference 2011
Keywords: surgery, audit
DOI: 10.1186/1757-1146-4-S1-O21
ISSN: 1757-1146
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > CLINICAL SCIENCES (110300) > Podiatry (110318)
Divisions: Current > Research Centres > Centre for Health Research
Current > Schools > School of Clinical Sciences
Current > QUT Faculties and Divisions > Faculty of Health
Copyright Owner: Copyright 2011 Hermann et al; licensee BioMed Central Ltd.
Copyright Statement: This is an open access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Deposited On: 03 Sep 2014 00:31
Last Modified: 03 Sep 2014 00:31

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