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Episode of admitted patient care—unplanned return to operating theatre indicator, Yes/no/not stated/inadequately described code N

Identifying and definitional attributes

Metadata item type:Help on this termData Element
Short name:Help on this termUnplanned return to operating theatre
METeOR identifier:Help on this term578317
Registration status:Help on this termHealth, Standard 04/09/2015
Definition:Help on this termAn indicator of whether a patient had a surgical procedure/operation and required an unplanned return to the operating theatre during the same episode of admitted patient care, as represented by a code.
Data Element Concept:Episode of admitted patient care—unplanned return to operating theatre indicator

Value domain attributes

Representational attributes

Representation class:Help on this termCode
Data type:Help on this termNumber
Format:Help on this termN
Maximum character length:Help on this term1
Permissible values:Help on this term
ValueMeaning
1Yes
2No
Supplementary values:Help on this term
9Not stated/inadequately described

Collection and usage attributes

Guide for use:Help on this term

CODE 9    Not stated/inadequately described

This code is not for use in primary data collections.

Data element attributes

Collection and usage attributes

Guide for use:Help on this term

CODE 1   Yes

Code 1 is used where the patient had one or more unplanned returns to the operating theatre during an episode of admitted patient care.

CODE 2   No

Code 2 is used where the patient did not have one or more unplanned returns to the operating theatre during an episode of admitted patient care.

CODE 9   Not stated/inadequately described

Code 9 is used where it is uncertain or inadequately documented in the primary data collection to know whether the patient did or did not have one or more unplanned returns to the operating theatre during an episode of admitted patient care.

 

The return to the operating theatre should be for a surgical procedure related to the initial procedure, but may be performed by the same surgeon or a different surgeon. There is no defined postoperative period within which the return needs to occur but it needs to occur within the same episode of care.

Returns to the operating theatre are not included where the subsequent procedure was planned and documented prospectively at the time of the original procedure (for example, staged procedures).

Where a patient has one or more unplanned returns to the operating theatre during an episode of admitted patient care, this item is coded as ‘yes’.

Comments:Help on this term

Unplanned returns to the operating theatre are frequently due to complications, for example to treat bleeding. Some complications following complex surgery are to be expected due to patients’ pre-existing diseases or conditions and the nature of the disease or condition being treated. The rate of unplanned returns should be interpreted in the context of other patient health-care safety and quality information.

The Australian Council of Healthcare Standards (2013) defines a similar data element, 'Unplanned return to operating room'. This data element only covers patients who are admitted to day procedure facilities for an operation or procedure. Within this data element, the operating room is defined to include not just rooms equipped for surgery but also rooms equipped for other therapeutic, diagnostic or endoscopic procedures.

Source and reference attributes

Submitting organisation:Help on this termAustralian Commission on Safety and Quality in Health Care/Australian Institute of Health and Welfare
Reference documents:Help on this term

The Australian Council of Healthcare Standards (ACHS) 2013. Clinical indicator program information 2013. Sydney: ACHS. http://www.achs.org.au/media/58466/
achsclinicalindicatorprograminformation2013.pdf

Relational attributes

Implementation in Data Set Specifications:Help on this term

High priority hospital complications (patient clinical deterioration) NBPDS 2015- Health, Standard 04/09/2015

DSS specific attributes +
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