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id
   
 
 
 
RLQ
   
 
 
 
AGE
   
 
 
 
Age Group
 
20-29
 
30-39
 
40-49
 
50-59
 
60-69
 
70-79
 
80-89
 
90-99
 
 
 
SEX
 
M
 
F
 
 
 
DATE OF OPERATION
 
 
 
COMMENCEMENT OF ANAESTHETIC
   
 
 
 
Start of Anaesthetic
 
8:00 -18:00
 
18:00-24:00
 
24:00-08:00
 
 
 
Month of Surgery
 
December
 
January
 
February
 
March
 
April
 
May
 
 
 
ASA
 
1
 
2
 
3
 
4
 
 
 
ASA
   
 
 
 
NCEPOD CLASSIFICATION
 
IMMEDIATE
 
URGENT
 
EXPEDITED
 
 
 
GRADE OF MAIN OPERATING SURGEON
 
CONSULTANT
 
NCCG
 
ST3-7
 
CT1
 
 
 
GRADE OF MAIN ANAESTHETIST
 
CONSULTANT
 
NCCG
 
ST3-7
 
 
 
Decision to operate to KTS
 
0-1
 
1-4
 
4-8
 
8-12
 
12-24
 
>24
 
 
 
TIME FROM DECISION TO OPERATE TO SURGERY (BOOKING TO KTS)
 
1
 
2
 
3
 
4
 
5-8
 
8-10
 
10-12
 
12-16
 
16-20
 
20-24
 
>24
 
time not documented
 
 
 
REASON FOR DELAY IF ANY
   
 
 
 
INTRAOPERATIVE MONITORING INCLUDED
 
IABP
 
CVP
 
TEMPERATURE
 
CARDIAC OUTPUT
 
URINE OUTPUT
 
ABG
 
LACTATE
 
BLOOD GLUCOSE

 
 
 
WHERE WAS THIS PATIENT DISCHARGED TO?
 
LEVEL3
 
LEVEL2
 
WARD
 
 
 
DO YOU FEEL THIS LEVEL OF SUPPORT WAS APPROPRIATE
 
YES
 
NO
 
 
 
WAS THERE ANY DELAY IN DISCHARGE
 
YES
 
NO
 
 
 
REASON FOR DELAY IN DISCHARGE FROM THEATRE.
   
 
 
 
extra information
   
 
 
 
epidural
 
yes
 
no

 
 
 
complication in hospital
   
 
 
 
outcome
 
alive at discharge
 
death in hospital
 
 
 
EXTRA QUESTIONS