Changing the Way we Operate (2001)

This report provides a stark comparison of the changing medical scene over the past decade. It demonstrates that patients being subjected to emergency surgery are both older and sicker than they were ten years ago. In turn, this has a profound impact on the service provision necessary to deal with these clinical problems.

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Executive Summary (149Kb)
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Individual Report Sections
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Introductory pages: (209KB)
Includes:

Acknowledgements
Clinical Contributors
Contents
Foreword
Introduction
Principal Recommendations

Main Report
Includes:

Section 1

The quality of care and the causation of death (73KB)

Section 2

The contribution of post mortem examinations to audit of postoperative deaths (79KB)

Section 3

The requirements for improved information systems (42Kb)

Section 4

Data quality audit (89k)

Section 5

General data (124Kb)

Section 6

General information about anaesthesia and surgery (307Kb)
Includes subsections:

6A.	General anaesthesia with regional analgesia
6B.	Aortic stenosis
6C.	The organissation of perioperative care and the involvement of critical care teams.

Section 7/8

Surgery in general (excluding malignancy) (283Kb)
Vascular surgery

Section 9

Management of malignancy (200Kb)
Includes subsection:

9A.	Review of histology reports.

Section 10

Pathology (97Kb)

References 74KB)

Appendices A to H and J (483KB)
Includes:
A Reported Deaths by Trust/Hospital Group
B Glossary
C Abbreviations
D NCEPOD Corporate Structure
E Data Collection & Review Method
F Local Reporters
G Participants (anaesthetists)
H Participants (surgeons & gynaecologists)
J Case Studies

Appendix I (45Kb)
I Excluded procedures, listed by OPCS code

Data Supplement (anaesthetic and surgial data) (441Kb)

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