Morbidity Audits


Find a surgeon

The Find a Surgeon directory is a listing of active Fellows of the Royal Australasian College of Surgeons who meet the requirements of the College's Continuing Professional Development (CPD) Program and have opted to be on the list. This list excludes retired or inactive Fellows.


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 Committee.

Why audit?

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 self-reflection

Morbidity Audit and Logbook Tool (MALT) 

The College provides MALT to Trainees, IMGs and Fellows in all specialties. It is also available for JDocs, surgeons enrolled in the maintenance of Professional (MOPS) Standards Program, and surgeons associated with the Pacific Islands Program (PIP).

This system is used to log procedures, self-audit or peer-review audit. It can be accessed from any web-enabled device.

MALT has many in-built features that are ideal for audit use:

  • collects data points recommended in the College's Surgical Audit and Peer Review Guide (PDF)
  • procedures are coded using SNOMED CT-AU terminology, meaning data is comparable internationally
  • a reporting tool allows users to customise their own reports and compare to members of their audit group
  • an export feature gives users a copy of their data in Excel format

General information on MALT

Using MALT for peer review audit


Developing your own audit system

We can provide advice and support in setting up an audit. 

As contracted managers of your audit, we can also assist with:

  • 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

Research services

Our research staff can:

  • analyse audit data
  • prepare reports or articles for peer-reviewed journals
  • develop easy-to-understand summaries of audit research for health consumers

Current audits

BreastSurgANZ Quality Audit

The BreastSurgANZ 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 breast cancer.

This audit was formerly directed by the Breast Section of the College as the National Breast Cancer Audit.


The Australian and New Zealand Emergency Laparotomy Audit - Quality Improvement (ANZELA - QI) pilot aims to provide data to support quality improvement activities to be undertaken in hospitals. It is co-led by Royal Australasian College of Surgeons (RACS) and Australian and New Zealand College of Anaesthetists (ANZCA) with collaboration from General Surgeons Australia, New Zealand Association of General Surgeons, Australian Society of Anaesthetists, New Zealand Society of Anaesthetists, Australasian College for Emergency Medicine and College of Intensive Care Medicine.


Previous audits


Audit of Endoluminal Repair of Abdominal Aortic Aneurysms

Bi-National Colorectal Cancer Audit

Rural Procedural Audit

Trans-Urethral Needle Ablation (TUNA) of the Prostate Audit



Making audits easier: MALT now provides a peer-review audit tool. Surgical News. 2016; 17(3):48-49. (PDF 9 MB)

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 Quality Audit and ANZGOSA Audit.



The Morbidity Audits Department is located within the Research, Audit & Academic Surgery Division of the College.

Discuss your own audit needs with the Department manager:

Dr Helena Kopunic, Surgical Audit Manager

Royal Australasian College of Surgeons
199 Ward Street
North Adelaide SA 5006 Australia

Telephone: +61 8 8219 0937  
Fax: +61 8 8219 0999