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