Surgical Services Resources

Surgical Services relates to all aspects of clinical care in operating theatres, including elective surgery.

Value-based surgical care: Defining key indicators

This document looks at indicators to support value-based surgical practices. It focuses on appropriateness of care – is the surgery indicated for this individual patient?

https://aci.health.nsw.gov.au/__data/assets/pdf_file/0009/746550/ACI-Value-based-surgical-care-Defining-key-indicators.pdf

Format: PDF File (431.3 KB) Alternate Content: --

Subcategory: Value-based surgical care Resource Type: Reports

Updated: 27 September 2022

bag.jpg

https://aci.health.nsw.gov.au/__data/assets/image/0010/288055/bag.jpg

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Subcategory: Efficiency Resource Type: Other

Updated: 16 November 2020

National Surgical Quality Improvement Program (NSQIP)

The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP®) data enhances a hospital’s ability to zero in on preventable complications. The Surgical Services Taskforce has established a NSQIP Steering Committee to assist hospitals with implementation in NSW.

https://aci.health.nsw.gov.au/resources/surgical-services/efficiency/nsqip

Subcategory: Efficiency Resource Type: Clinician Summaries

Updated: 1 December 2020

Format: Webpage

NSQIP Patient Information

https://aci.health.nsw.gov.au/__data/assets/pdf_file/0011/506189/NSQUIP-patient-information.pdf

Format: PDF File (249.5 KB) Alternate Content: --

Subcategory: Efficiency Resource Type:

Updated: 1 December 2020

Operating Theatre Efficiency

https://aci.health.nsw.gov.au/resources/surgical-services/efficiency/theatre-efficiency

Subcategory: Efficiency Resource Type:

Updated: 26 May 2021

Format: Webpage

Operating Theatre Standard Costs

This template has been developed to improve the collection and allocation of OT costing data. The template calculates an average cost per minute/session for a standard OT to facilitate modelling of OT costs for various scenarios.

https://aci.health.nsw.gov.au/__data/assets/excel_doc/0003/252435/Operating-theatre-costs_Unprotected.xlsx

Format: MS Excel Document (772.3 KB) Alternate Content: --

Subcategory: Efficiency Resource Type: Audit Tools

Updated: 1 December 2020

Operating Theatre Efficiency Guidelines

The Guidelines have been developed as a best practice guide for the management and governance of OTs in NSW public hospitals and are intended to provide assistance to OT committees, managers and staff in the management of efficient operating theatres at hospital and Local Health District levels. The Guidelines provide information on OT efficiency measures, management processes and cost considerations based on expert recommendations.

https://aci.health.nsw.gov.au/__data/assets/pdf_file/0004/252436/operating-theatre-efficiency-guidelines.pdf

Format: PDF File (1.5 MB) Alternate Content: Plain Text

Subcategory: Efficiency Resource Type: Clinical Guidelines

Updated: 6 April 2022

OT Productivity Index Handout

https://aci.health.nsw.gov.au/__data/assets/pdf_file/0005/288302/OT_Productivity_Index_handout.pdf

Format: PDF File (295.5 KB) Alternate Content: --

Subcategory: Efficiency Resource Type: Reports

Updated: 1 December 2020

Self assessment checklist for surgical services in NSW public hospitals

https://aci.health.nsw.gov.au/__data/assets/word_doc/0008/620747/surgical-self-assessment-checklist.docx

Format: MS Word Document (41.7 KB) Alternate Content: --

Subcategory: Efficiency Resource Type:

Updated: 17 December 2020

ACI Guide Integrated Surgical Care for Older People

The Guide to Integrated Surgical Care for Older People has been a joint effort between several ACI networks. In particular, the Guide addresses priority topics for the Surgical Services Taskforce, Anaesthesia and Perioperative Care and Aged Health networks.

The Guide supports clinical teams to deliver appropriate, efficient and timely surgical care for complex and co-morbid patients, focusing on early and effective communication, proactive approaches to managing clinical risk and regular review of processes for ongoing improvement.

https://aci.health.nsw.gov.au/__data/assets/pdf_file/0015/450303/ACI-Guide_Integrated_Surgical_Care_for_Older_People.pdf

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Subcategory: Delivery Resource Type: Clinical Guidelines

Updated: 16 October 2018

Predictable Surgery Program

https://aci.health.nsw.gov.au/resources/surgical-services/delivery/predictable-surgery

Subcategory: Delivery Resource Type: Other

Updated: 5 May 2021

Format: Webpage

Hip Evaluation Final Report

https://aci.health.nsw.gov.au/__data/assets/pdf_file/0007/289753/Hip_Evaluation_Final_Report.pdf

Format: PDF File (2.7 MB) Alternate Content: --

Subcategory: Hip Fracture Resource Type: Reports

Updated: 20 November 2015

Minimum Standards for the Management of Hip Fractures

Hip fractures as a result of a fall are a common occurrence for older Australians – 17,000 cases present to emergency departments across the country each year.

The Agency for Clinical Innovation (ACI) has worked with expert clinicians in NSW to develop Minimum Standards for the Management of Hip Fracture. These guidelines identify best practice on the management and care of patients with hip fracture for healthcare providers across NSW and aims to improve outcomes for patients with hip fractures requiring surgery and management in NSW.

https://aci.health.nsw.gov.au/resources/aged-health/hip-fracture/min-standards-hip-fractures

Subcategory: Hip Fracture Resource Type: Standards

Updated: 9 March 2022

Format: Webpage

Self-Assessment Minimum Standards for the Management of Hip Fracture in the Older Person

Please download this form and return to Gavin Meredith when completed: gavin.meredith@aci.health.nsw.gov.au

https://aci.health.nsw.gov.au/__data/assets/pdf_file/0007/208159/self-assessment-hip-fracture.pdf

Format: PDF File (1.4 MB) Alternate Content: Plain Text

Subcategory: Hip Fracture Resource Type: Checklists

Updated: 28 February 2014

Approach to the Adrenal Incidentaloma

https://aci.health.nsw.gov.au/resources/surgical-services/clinical-guidelines/approach-to-the-adrenal-incidentaloma

Subcategory: Clinical Guidelines Resource Type: Clinical Guidelines

Updated: 11 January 2016

Format: Webpage

Guideline for Risk-Reducing Mastectomy

This guideline provides clinicians with guidance and recommendations for the categorisation of women for risk-reducing mastectomy surgery.

https://aci.health.nsw.gov.au/resources/surgical-services/clinical-guidelines/guideline-for-risk-reducing-mastectomy

Subcategory: Clinical Guidelines Resource Type: Clinical Guidelines

Updated: 14 May 2015

Format: Webpage

Enhanced Management of Orthopaedic Surgery: a case study in innovation

The document describes the successful implementation of a program at Coffs Harbour Health Campus that has improved outcomes for people having joint replacement surgery.

https://aci.health.nsw.gov.au/__data/assets/pdf_file/0009/348426/EMOS-case-study.pdf

Format: PDF File (846.7 KB) Alternate Content: --

Subcategory: Enhanced Recovery After Surgery Resource Type: Reports

Updated: 13 February 2017

Enhanced Recovery After Surgery report

https://aci.health.nsw.gov.au/resources/surgical-services/enhanced-recovery-after-surgery/enhanced_recovery_after_surgery-report

Subcategory: Enhanced Recovery After Surgery Resource Type:

Updated: 28 November 2016

Format: Webpage

Appropriateness of Knee Arthroscopy: Summary of strategies to ensure appropriate performance in NSW

https://aci.health.nsw.gov.au/__data/assets/pdf_file/0011/490817/ACI_0201-Knee-arthroscopy-summary.pdf

Format: PDF File (79.9 KB) Alternate Content: --

Subcategory: Appropriateness of knee arthoscopy Resource Type: Other

Updated: 16 May 2019

Appropriateness of Knee Arthroscopy: Strategies to ensure appropriate performance in NSW

https://aci.health.nsw.gov.au/__data/assets/pdf_file/0010/490816/Report-Appropriateness-of-Knee-Arthroscopy.pdf

Format: PDF File (383.4 KB) Alternate Content: --

Subcategory: Appropriateness of knee arthoscopy Resource Type: Other

Updated: 16 May 2019

Principles for resuming elective surgery

This document outlines the key principles for resuming non-urgent elective surgical procedures to safely increase access to services, while maintaining service capability to respond should a surge in pandemic activity occur.

https://aci.health.nsw.gov.au/__data/assets/pdf_file/0008/588176/ACI-CoP-Principles-for-resuming-elective-surgery.pdf

Format: PDF File (295.2 KB) Alternate Content: --

Subcategory: COVID-19 Resource Type: Other

Updated: 10 June 2020

Principles for management of surgery during COVID-19

https://aci.health.nsw.gov.au/resources/surgical-services/covid-19/principles-surgery-covid-19

Subcategory: COVID-19 Resource Type: Other

Updated: 27 March 2020

Format: Webpage

Case studies of existing prehabilitation sites in NSW

https://aci.health.nsw.gov.au/__data/assets/pdf_file/0006/740598/ACI-Case-studies-of-existing-prehabilitation-sites-in-NSW.pdf

Format: PDF File (431.5 KB) Alternate Content: --

Subcategory: Elective surgery Resource Type: Other

Updated: 19 August 2022

Enhanced recovery after surgery for colorectal surgery - Audit and Feedback Guide

https://aci.health.nsw.gov.au/__data/assets/pdf_file/0005/740615/ACI-Enhanced-recovery-after-surgery-for-colorectal-surgery-Audit-and-Feedback-Guide.pdf

Format: PDF File (411.0 KB) Alternate Content: --

Subcategory: Elective surgery Resource Type: Other

Updated: 25 October 2022

Same-day hip and knee joint replacement surgery key principles

This document provides key principles for clinicians who are considering implementing hip or knee joint replacement surgery that enables the patient to be discharged within 24 hours of being admitted for surgery.

https://aci.health.nsw.gov.au/__data/assets/pdf_file/0009/717876/ACI-Same-day-hip-and-knee-joint-replacement-surgery-key-principles.pdf

Format: PDF File (253.7 KB) Alternate Content: --

Subcategory: Elective surgery Resource Type: Key Principles

Updated: 1 September 2022

Same-day joint replacement surgery evidence check

This document reviews evidence on same-day joint replacement surgery, including reoperation rates, readmissions, transfusions, mortality, and patient-reported outcomes.

https://aci.health.nsw.gov.au/__data/assets/pdf_file/0011/717878/ACI-Same-day-joint-replacement-surgery-evidence-check.pdf

Format: PDF File (253.9 KB) Alternate Content: --

Subcategory: Elective surgery Resource Type: Evidence Reviews

Updated: 25 March 2022

Elective surgery improvement initiatives

In partnership with the NSW Ministry of Health and the Surgical Services Taskforce, the ACI is developing evidence-based guidance, tools and resources to support clinicians and health services improve elective surgery in NSW.

https://aci.health.nsw.gov.au/statewide-programs/elective-surgery

Subcategory: Elective surgery Resource Type: Clinical Guidelines

Updated: 30 August 2022

Format: Webpage

Adult Neurological Observation Chart - Education Package Introduction

https://aci.health.nsw.gov.au/__data/assets/pdf_file/0018/201753/AdultChartEdPackage.pdf

Format: PDF File (5.1 MB) Alternate Content: --

Subcategory: Adult neurological observation chart Resource Type: Charts

Updated: 25 October 2013

Toolkit for the management of breast implants

https://aci.health.nsw.gov.au/resources/surgical-services/breast-implants/management-toolkit

Subcategory: Breast implants Resource Type: Other

Updated: 25 March 2022

Format: Webpage

Surgical Services Taskforce

Contact

Crystal Burgess
Manager, Surgical Services Taskforce

ACI-Surgery@health.nsw.gov.au