OFFICIAL: Sensitive – NSW Government
Introduction This report provides an overview of hospital-acquired complications (HACs) for patients discharged in 2024. It is intended for internal use by the DoSA Surgical Outcomes Committee only. Prior to the development of this bespoke report, several HAC reports were available to the Surgical Outcomes Committee which had varying levels of specificity and utility. This report is currently under active development and is designed to overcome the limitations of existing reports and introduce more transparency to the reporting process of HACs. The report aims to be straightforward and easy to interpret with several inclusions which differentiates it from the other reports: • Incorporating more surgically relevant complications in addition to the hospital-wide HACs selected for reporting by the Australian Commission on Safety and Quality in Healthcare (ACSQHC) • Identifying and including operative patients where their care was transferred to and were discharged by a non-surgical specialty Throughout the report development phase, senior surgeons will be consulted to improve the relevance and potential utility of the report. The findings of this report and the final iteration is expected to inform each specialty on the incidence of HACs over time and guide quality improvement initiatives to reduce HACs.
Multiple data sources were used in the development of this report:
• Admitted Patient Discovery Dashboard (source data from EDWARD) o Source of additional diagnoses and complications • Quality Improvement Data System (QIDS) Dashboard o
Source of the ACSQHC reportable HACs, taking into consideration additional criteria required for certain HACs to be flagged as per the ACSQHC
• Discern Analytics - Casemix Report (SN024) o Source of operative details
For more details on these data sources, refer to Appendix A.
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