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Complication data collection: a prospective, standardised, coded system for otolaryngology or other branches of
R M Ryan1, S Fowler, J Walmsley
1Comparative Audit Service, Royal College of Surgeons of England, London.
Abstract:
This system for interdepartmental collection of data on surgical complications should, though designed for otolaryngology, be applicable to any surgical specialty. The system under which data are collected prospectively on a coded proforma has been shown to document considerably higher complication rates than retrospective, uncoded data collection and, as consultants are unlikely to report non-existent complications, we assume that the higher rates are more valid. The system also provides a list of factors which must be standardised before data on complication rates from different units can usefully be pooled or comparisons made between them.