Patient safety workstream
The patient safety workstream will combine the existing Surgical Site Infection audit project with other projects investigating recognised patient safety issues which affect multiple specialties, for example sepsis, within which there could be considerable unwarranted variation. The workstream is currently identifying a small number of specific areas of focus and agreeing specific metrics.
The workstream is currently led by the Surgical Site Infection audit project leads and a lead for other patient safety projects will be appointed in due course.
For further information on the GIRFT cross cutting workstreams, please contact James Malpeli (email@example.com).
Surgical Site Infection Audit
Getting It Right First Time (GIRFT) is a national clinician-led programme designed to improve the quality of medical care within the NHS by reducing unwarranted variations. As part of this programme we have set up the Surgical Site Infection (SSI) Audit.
The audit has been established to:
- 1. Briefing pack.pdf
- 2.Appendix_1 SSI Definitions V2.1.pdf
- 2.Appendix_2. SSI OPCS Code Lists V2.xlsx
- SSI-Audit-Breast Surgery.xlsx
- SSI-Audit-Cardiothoracic Surgery.xlsx
- SSI-Audit-Cranial Neurosurgery.xlsx
- SSI-Audit-General Surgery.xlsx
- SSI-Audit-Obs Gynae.xlsx
- SSI-Audit-Ophthalmology Aug to Oct.xlsx
- SSI-Audit-Paediatric Surgery.xlsx
- SSI-Audit-Spinal Surgery V2.xlsx
- SSI-Audit-Urology V.2.xlsx
- SSI-Audit-Vascular Surgery V.2.2.xlsx
- Identify the surgical site infection rates of specific procedures within key surgical specialties
- Assess local practice in the prevention of surgical site infection for the specified procedures
Doctors at varying stages of training to act as local trust leads in charge of data collection and submission for their specialty of interest. Only selected procedures for each specialty were included within the scope of the audit, these procedures were identified by the GIRFT clinical leads. Approximately 100 procedures were surveyed in total across the 13 specialties. The survey requested data on both pre and post-surgical factors which may influence the incidence of surgical site infections. Furthermore, it also requested data on each hospitals management of such infections when they occurred and sought to understand the consequences for patients who suffered SSIs.
The surgical site infection (SSI) audit surveyed the incidence of post-surgical infections during the 12 months from November 2016 to October 2017. The audit response submission period has now closed and we have received responses from 84 providers. The specialties included in the audit were:
- Breast Surgery
- Cardiothoracic Surgery
- Cranial Neurosurgery
- Ear Nose and Throat
- General Surgery
- Obstetrics and Gynaecology
- Oral and Maxillofacial Surgery
- Orthopaedic Surgery
- Paediatric Surgery
- Spinal Surgery
- Vascular Surgery
The briefing pack, data collection templates and supporting documents are available for download now on the right side of this page.
If you have any queries, please email: GIRFT.firstname.lastname@example.org
Joint Clinical Lead: Professor Tim Briggs OBE
Consultant orthopaedic surgeon at the Royal National Orthopaedic Hospital, GIRFT Programme Chair, National Director for Clinical Quality and Efficiency for the NHS
Joint Clinical Lead: Junie Wong
GIRFT SSI Audit Lead and National Medical Director’s Clinical Fellow NHS Improvement
Project Manager: Allison Beal