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Clinical Registries

The develpment of high quality clinical registries of perioperative risk and outcome is a defining project of the NIAA Health Services Research Centre.

We have partnered with the two established perioperative databases run by the Emergency Laparotomy Network (ELN) and the Hip Fracture Anaesthesia Network (HipFAN). In the short-term our shared aim is to integrate the registry elements of these database through a shared software platform, data definitions and core analysis functions. We will work with the networks to acheive this goal. Central to this will be the development of the Integrated Perioperative Network (iPON) software.

HQIP to commission National Emergency Laparotomy Network (NELN) as first national clinical audit of perioperative care

The Health Quality Improvement Partnership (HQIP) announced in September that the National Emergency Laparotomy Network (NELN, formerly Emergency Laparotomy Network) is one of eleven new national audits to be commissioned. The NELN and three other audits have been selected for immediate funding from the 2011-12 budget. The remaining seven audits will be supported as funds become available.

Commissioned audits were judged against a number of criteria including evidence of sub-optimal care, and the potential for significant improvements in that care, evidence of variation in care quality and evidence that the audit might reduce this inequality, presence of relevant standards and measures, and alignment with current health policy direction.

The HQIP chief executive, Robin Burgess, commented that the submitted proposal was 'felt to be clear in concept and design, and to meet the requirements of the criteria published by the National Clinical Audit Advisory Group, as well as covering a clinical area which the Department of Health feels would benefit from the introduction of a new national audit.'

The NELN will be the first national audit focussing primarily on perioperative care (as opposed to surgical factors or critical care). It is a great success for the NELN team led by Dr Dave Murray (James Cook University Hospital, Middlesbrough) and a rewarding product of the close collaboration between the NELN and the HSRC.