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.

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 use:

  • a reporting tool that allows users to design their own reports
  • an import tool for uploading data from an existing database
  • an export feature which gives users a copy of their data in Excel format

Enquiries on using MALT for audit are welcomed from members of the College.

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

Our experience


The ANZGOSA 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 (GIST).

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

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.

Previous audits

Audit of Endoluminal Repair of Abdominal Aortic Aneurysms

Rural Procedural Audit

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

Annual Reports

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 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.


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:

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