BAUS Snapshot Audits
BAUS will be launching two new snapshot audits in 2020. The first of these will be an audit of surgery for bladder outflow obstruction (BOO) followed, later in the year, by an audit of patients with renal colic.
Bladder Outflow Obstruction Snapshot Audit
Hospital Episode Statistics (HES) data in England indicate that approximately 1000 BOO procedures are performed each week; the number of procedures performed in Northern Ireland, Scotland and Wales will, inevitably, be lower.
The aims of the bladder outflow obstruction (BOO) audit are to collect data on baseline activity across the NHS for compliance with NICE and EAU guidelines, and to determine variations in assessment and treatment, including waiting times and indications for surgery.
Data for this audit will be collected on all men undergoing intervention for BOO (including PAE) during November 2019, with data submission taking place in March 2020.
The main principles of the audit are:
- data collection will be retrospective, in March 2020, to allow entry of follow-up data where applicable;
- anonymised unit level data only will be collected;
- the data will be collected using JotForm, which is computer, tablet and smartphone-compatible;
- the dataset will contain a maximum of 34 questions covering pre-operative assessment, surgery and follow-up;
- national feedback, and feedback to individual units, will enable benchmarking and quality improvement; and
- initial data from the audit is likely to be presented at BAUS 2020 in Birmingham.
The process, platform and dataset are being piloted by members of the BAUS Audit Steering Group in their hospitals before the audit is rolled out to other urology units across the UK.
Clinical Audit Leads for Urology in each unit in the UK will oversee the audit locally, and will co-ordinate unit responses.
Participation in this audit will provide Consultants with supporting documentation of involvement in QIP/Audit in their five-year revalidation cycle. Participating trainees will be able to demonstrate involvement in national audit at their Annual Review of Competence Progression (ARCP).
A message from Mr Andrew Dickinson, BAUS Audit Steering Group Chair:
“... I hope you will find this project exciting and worthwhile. It will give BAUS a national picture of BOO surgery compared with NICE and EAU guidelines, thus providing a snapshot of UK practice for this common urological condition.
These data will also provide useful feedback for local units, as well as guiding evidence-based improvement in patient care ..."