We have been creating and managing clinical databases for audit
for over 15 years. We support Fellows to use audit for improving
and maintaining standards of surgical care. Oversight for each
project in this department is provided by the Morbidity Audits
Audits aim to improve quality of care for patients. They
establish what is currently happening with clinical care and
whether performance meets existing standards. This data acts as a
stimulus for learning and quality improvement.
Peer-reviewed surgical audit is mandated as part of a Fellow's
Continuing Professional Development recertification.
What is surgical audit?
Surgical audit involves:
- collection of data on clinical activities and outcomes
- analysis and comparison using standards, performance indicators
and outcome parameters
- peer review to identify any potential improvements
- feeding results back to participants to facilitate
Morbidity Audit and Logbook Tool (MALT)
The College provides MALT to Trainees,
IMGs and Fellows in all specialties.
This system is used to log procedures and self-audit. It can be
accessed from any web-enabled device.
MALT has many in-built features that are ideal for audit
- a reporting tool that allows users to design their own
- an import tool for uploading data from an existing
- an export feature which gives users a copy of their data in
Enquiries on using MALT for audit are welcomed from members of
Developing your own audit system
We can provide advice and support in setting up an
As contracted managers of your audit, we can also assist
- designing data collection tools
- liaising with IT developers to build these tools
- providing support for the audit system
- mapping and uploading data from existing systems
Our research staff can:
- analyse audit data
- prepare reports or articles for peer-reviewed journals
- develop easy-to-understand summaries of audit research for
Audit is managed for the Australian and New Zealand
Gastric and Oesophageal Surgical Association (ANZGOSA). It is provided as a service to their
members. Data is collected on patients undergoing surgery for
oesophago-gastric cancer or gastrointestinal stromal tumour
Bi-National Colorectal Cancer Audit
The Bi-National Colorectal
Cancer Audit is a clinical audit of the surgical practices
of Australian and New Zealand surgeons treating colorectal cancer.
The College managed the audit from 2007 to 2010, with data entry
services continuing until 2012. The audit is now under the auspices
of the Colorectal Surgical Society of Australia and New Zealand (CSSANZ) and
independent from the Morbidity Audits Department.
BreastSurgANZ Quality Audit
Quality Audit (BQA) is managed for Breast Surgeons of
Australia and New Zealand (BreastSurgANZ). BreastSurgANZ require Full
Members to submit data on all cases of early and locally advanced
This audit was formerly directed by the Breast Section of
the College as the National Breast Cancer Audit.
Endoluminal Repair of Abdominal Aortic Aneurysms
Rural Procedural Audit
Trans-Urethral Needle Ablation (TUNA) of the Prostate Audit
Excerpts from the ASERNIP-S Annual Report, highlighting the work
in our department
Making audits easier: MALT now provides a peer-review audit
tool. Surgical News. 2016; 17(3):48-49. (PDF 9
Ogilvy, M. Kollias, J.Operating principles for running a
clinical quality registry: are they feasible? ANZ Journal of
Surgery 2012 Nov;82(11):832-7. PubMed Reference: PMID: 22943307
Wang J, Boult M, Roder D, Babidge W, Kollias J, Maddern G. How
surgical audits can be used to promote the uptake of surgical
evidence. ANZ Journal of Surgery. 2008 Jun; 78(6):437-8.
PubMed reference: PMID: 18522561
Boult M, Maddern G. Clinical audits: why and for whom. ANZ
Journal of Surgery 2007;77(7):572-578. PubMed Reference: PMID: 17610696
Further articles have also been published regarding the BreastSurgANZ
The Morbidity Audits Department is located within the Research,
Audit & Academic Surgery Division of the College.
Discuss your own audit needs with the Department
Katherine Economides, Morbidity Audits Manager
Royal Australasian College of Surgeons
199 Ward Street
North Adelaide SA 5006 Australia
Telephone: +61 8 8219 0912
Fax: +61 8 8219 0999