Some dowloads to help in developing and improving your veterinary laparoscopy service

Poster - Download a poster to help advertise keyhole surgery in your practice. The poster contains a blank space for you to enter your specific practice details.

Safe laparoscopic surgery checklist - based on the World Health Organisations (WHO) safe surgery initiative.

Some notes on the use of the checklist:
In Human surgery in industrialized countries, the rate of major complications has been documented to occur in 3-22% of inpatient surgical procedures, and the death rate as0.4-0.8%. Nearly half the adverse events in these studies were determined to be preventable (WHO, 2009). A pilot study in the New England Journal of Medicine (Haynes et al, 2009) demonstrated that a simple safe surgery checklist compiled by a WHO panel almost halved the mortality rate and reduced the complication rate by more than a third. As the aim of veterinary laparoscopy is not just about smaller wounds with resultant less post-operative pain and faster recovery, but ultimately about better, safer surgery for our patients, the use of a veterinary laparoscopic surgery checklist is highly recommended. For those interested in learning more on this topic, Checklist (2010) by Atule Gawande makes interesting reading, and the WHO website has numerous safe surgery resources.

Clinical audit form to help perform your inhouse clinical audit of laparoscopic procedures, as both a quality control method, and to help improve your outcomes. Please do contact us if you would like to anonymously contribute your data to our worldwide clincal audit of small animal laparoscopy that we are perfroming.

Some notes on clinical audit:
It goes without saying that efforts to improve one's surgical outcomes and safety are meaningless unless one actually reviews ones outcomes, success, and actual complication rates. We all believe that we are good surgeons. Studies have demonstrated that most surgeons believe they are above average in terms not only of skill, but also outcomes. Human nature, combined with subjective personal perception, distort the reality of our successes and complication rates. NICE (National Institute for Clinical Excellence - UK) defines clinical audit as "a quality improvement process that seeks to improve patient care and outcomes through systematic review of care against explicit criteria and the implementation of change. Aspects of the structure, processes, and outcomes of care are selected and systematically evaluated against explicit criteria. Where indicated changes are implemented...and further monitoring is used to confirm improvement in healthcare delivery". Veterinary laparoscopy is not just about smaller wounds, or even less post-operative pain and faster recovery, neither is it performed for our personal enjoyment, but it i ultimately about better, safer surgery for our patients. To this end, it really is our personal and professional duty to evaluate our outcomes, and strive to find ways to improve this. In its simplest form, this takes as little work as recording our surgical procedures on a sheet and once every 3-6 months sitting down and checking the records to evaluate the outcomes in terms of percentages.