Urology operation institutional audit.pptx

Regarding hospital audit, in a national center of Bangladesh

1. Urology Audit May- 2022 Dr. Serajum Munir Resident (Phase-B), Urology National Institute of Kidney Diseases and Urology

2. Emergency Patients Total patients : 128 Male : 103 (80.47%) Female : 25 (19.53%)

3. Emergency Patients Cases No. % Acute urinary retention 46 35.94 Clot retention 04 3.13 Hematuria 24 18.75 Flank pain 31 24.22 UTI 12 9.38 Urethral injury 01 0.78 Epididymo-orchitis 02 1.56 Ureteric stone 08 6.25

4. Emergency Procedures Procedure No. Perurethral catheterization 51 Percutaneous suprapubic cystostomy 05 Clot evacuation by irrigation & aspiration 04

5. OPD statement Total patients New Old Male Female 3013 1687 (55.99%) 1326 (44.01%) 2235 (74.18%) 778 (25.82%)

6. Age distribution of OPD patients 18-40 yr 40-60 yr >60 yr 29% (n=873) 47% (n=1416) 24% (n=724)

7. OPD patients : Unitwise statement Unit Total patients % White 483 16.03 Green 958 31.80 Blue 567 18.82 Orange 448 14.87 Red 557 18.49

8. IPD statement Total admission : 110 Male patients : 76 (69.09%) Female patients : 34 (30.91%)

9. IPD statement : Unitwise Unit Total admission % White 27 24.55 Green 20 18.18 Blue 21 19.09 Orange 18 16.36 Red 24 21.82

10. Admitted cases Disease Number Unit Urinary stone disease 55 White(18), Green(11), Blue(8), Orange(8), Red(10) Renal neoplasm 06 White(4), Blue(1), Orange(1) Vesical neoplasm 05 Green(2), Blue(2), Orange(1) Carcinoma- Prostate 02 Orange

11. Admitted cases Disease Number Unit BEP 10 White(3), Green(3), Blue(1), Orange(2), Red(1) PUJO 07 Green(1), Blue(2), Orange(3), Red(1) Renal cyst 02 Blue(1), Red(1)

12. Admitted cases Disease Number Unit Urethral stricture 07 White(1), Blue(1), Red(5) NFK 02 White(1), Blue(1) Chronic retention 03 Blue(2), Red(1) Acute retention 01 Green HDN 03 Green(2), Red(1) HDUN 02 Red

13. Admitted cases Disease Number Unit VUJO 01 Red Phimosis 01 Blue Vesicocutaneous fistula 01 Blue Ectopic testis 01 Orange

14. Operative procedures Procedure Number % Endoscopic 158 80.20 Minimal Invasive 18 9.14 Open 21 10.66 Total 197 100

15. Operative procedures : Unitwise Unit Number % White 44 22.45 Green 48 24.49 Blue 33 16.84 Orange 40 20.41 Red 31 15.82

16. Renal Transplantation : 01

17. Endoscopic surgery Name Number Unit PCNL 30 White(8), Green(5), Blue(4), Orange(5), Red(8) RIRS 03 Red URS + ICPL 15 White(6), Green(7), Red(2) URS + Laser lithotripsy 10 White(3), Blue(5), Orange(2)

18. Endoscopic surgery Name Number Unit TURP 10 White(4), Green(1), Blue(2), Orange(2), Red(1) TURBT 07 White(1), Green(1), Blue(1), Orange(4) UC+DJ stenting 17 White(2), Green(6), Blue(7), Orange(1), Red(1)

19. Endoscopic surgery Name Number Unit Cystolitholapaxy 02 Green DVIU 04 White(2), Orange(1), Red(1) Endoscopic smile incision 01 Green Otis urethrotomy 01 Orange Clot evacuation 01 Blue

20. Endoscopic surgery Name Number Unit Removal of urethral F.B. 01 Blue Diagnostic UC 03 Blue(2), Orange(1) DJ stent removal 49 White(9), Green(20), Blue(6), Orange(10), Red(4)

21. Minimal Invasive Surgery Name Number Unit Lap. Radical Nephrectomy 02 White(1), Green(1) Lap. Partial Nephrectomy 01 White Lap. Simple Nephrectomy 03 White(2), Red(1) Lap. Adrenalectomy 02 White Lap. Ureterolithotomy 01 Blue PCN 05 Orange(3), Red(2)

22. Minimal Invasive Surgery Name Number Unit Urethral dilatation 03 Orange(1), Red(2) Percutaneous SPC 04 Green(2), Orange(1), Red(1) Prostate biopsy 02 Orange

23. Open Surgery Name Number Unit Ureterocalycostomy 01 Blue Upper moiety Heminephrectomy 01 Blue NSS 01 Red Simple Nephrectomy 01 Red Johanson stage-I urethroplasty 01 Red

24. Open Surgery Name Number Unit Nephroureterectomy with excision of cuff of bladder 02 Orange Orchidopexy 01 Orange A-H pyeloplasty 02 Orange

25. Open Surgery Name Number Unit Creation of A-V fistula 08 White(3), Green(1), Blue(1), Orange(1), Red(2) Secondary wound closure 01 Green

26. Activities of adult urology in May 2022 : at a glance Emergency patients 128 OPD patients 3013 Total admission 110 Total operations 196 Renal Transplantation 01