Audit title

CANCER AND HAEMATOLOGYHaematology

Re-audit: Competance of inpatient warfarin prescribingRe-audit: IV FiltersNICE TAG 218 Audit: Validating the response in patients with MDS & acute myeloid leukaemia treated with 5-azacitidine Antifungal Prohylaxis Prescribing

Compliance with the standards for acting on high INR (INR<8) for patients who are on WarfarinHickman Line Infections

General OncologyHQIP National Bowel Cancer (NBOCAP) 2011 HQIP National Bowel Cancer (NBOCAP) 2012Re-audit of outcomes for patients treated with LLETZ for CIXManagement of EGFR Tyrosine Kinase inhibitor associated skin toxicity against the UK consensus guidanceBRAF testing and the ust of BRAF inhibitors in unresectable or metastatic melanomaHave patients receiving SC Trastuzumab been switched to the SC route? AuditHQIP National Bowel Cancer (NBOCAP) 2013HQIP National Bowel Cancer (NBOCAP) 2014 HQIP National Bowel Cancer (NBOCAP) 2015 HQIP National Bowel Cancer (NBOCAP) 2016 (Quality Account)RO resection rates and inpatients having pre operative radiotherapyHQIP National audit of Oesophago - gastric Cancer 2014 (NAOGC) (Quality Account)HQIP National audit of Oesophago - gastric Cancer 2015 (NAOGC)HQIP National Audit of Head & Neck Cancer (DAHNO) 2014 (Quality Account)HQIP National Audit of Lung Cancer (NLCA) 2014 (Quality Account)HQIP National Audit of Lung Cancer (NLCA) 2015 (Quality Account)HQIP National audit of Oesophago - gastric Cancer 2016 (NAOGC) (Quaity Account)Adjuvant chemotherapy for early breast cancer in patients aged over 70 years HQIP National Prostate Cancer Audit (NPCA) 2015 HQIP National Prostate Cancer Audit (NPCA) 2016 (Quality Account)Re-audit: NICE TAG 145 The use of cetuximab in the treatment of locally advanced squamous cell cancer of the head and neck Re-audit: Timeliness of post-operative radiotherapy for skin cancer NICE CG164 Audit: Identifications of Breast Cancer patients for genetic testingRe-audit : Elective inpatient treatment on Lord North WardStaging laparoscopy in potentially operable oesophageal cancer and surgical outcomes

Blood Transfusion

HQIP National Audit of Patient Blood Management in Scheduled Surgery 2015(Quality Account)HQIP National Audit of the use of blood in Haematology 2016HQIP National Audit of the use of blood in Lower GI bleeding 2015 (Quality Account)

HQIP National comparative audit of blood transfusions: use of Anti-D 2012 (Quality Account)

National comparative audit of blood transfusion of patient information and consent 2014Palliative Care

National End of Life Care Audit 2015

Clinical audits on programme 2015/2016

Re-audit: Accuracy & completeness of DNACPR form completionRe-audit: Accuracy & completeness of DNACPR form completion

Radiotherapy

Re-audit: Avoidance of gaps in radiotherapy treatment schedule for all category 1 patientsRe-audit: Radiotherapy waiting times for emergency, palliative and radical patientsRoyal College of Radiologists National Re-audit of Breast Radiotherapy practice

CORPORATE SERVICESAcross Specialties

NCEPOD Gastrointestinal Haemorrhage Study HQIP NCEPOD - Sepsis Study (Quality Account)HQIP NCEPOD - Acute Pancreatitis Study 2014 (Quality Account)

HQIP NCEPOD Provision of Mental Health Care in Acute Hospitals 2015 (Quality Acount)Trustwide Documentation and Consent audit 2015Use and storage of patient / procedure images and recordings 2015Re-audit of Trustwide Documentation and Consent Audit 2015HQIP NCEPOD Child Health Clinical Outcome Review Programme; Adolescent Mental Health; Self Harm (Quality Account)HQIP NCEPOD Child Health Clinical Outcome Review Programme; Chronic Neurodisability; Cerebal Palsy (Quality Account)

Infection ControlRe-audit: Sharps Awareness AuditEndoscopy Cleaning Policy for Infection Control 2015 re-auditRe-audit: Compliance with the CDT PathwaySharps Awareness 2015 re-auditTWH Endoscopy - Care setting Process Improvement Tool

NursingRe-audit: Discharge Planning Audit 2014HQIP National audit of Dementia 2015 PILOT STUDY (Quality Account)

Tissue ViabilityPrevalence Audit February 2015Prevalence Audit September 2015Mattress Audit 2015Prevelance Audit February 2016

CRITICAL CAREAnaesthetics

A retrospective audit of paediatric anaesthesia at Maidstone and Tunbridge Wells HospitalAudit of pre-opertive medication administration (Missed medication)Audit of the use of peri-operative nerve blocks and indwelling catheters at TWH in patients with #NOF

Management of post operative pain following major orthopaedic surgery in children at TWHContents of the anaesthetic room drug cupboardsDocumentation in Obstetric AnaesthesiaEnhanced Recovery Programme in knee Replacement HQIP National NAP6 - Perioperative anaphylaxis (Quality Account)HQIP. National Emergency Laparotomy Audit (NELA) (Quality Account)

Local enhanced peri-operative care for high-risk patients: audit of emergency laparotomies - EPOCHNational APRICOT Study ESA Clinical Trial Network (Anaesthesia Practice in Children Observational Trial)National Cardiac Arrest Audit (NCAA) (Quality Account)NICE CG132; Audit on Timing of Administration of Antibiotics for Caesarean SectionPain Assessment in Intensive Care (PAINT study)Post-operative care of patients admitted with a fractured neck of femur Pre-op intravenous iron in elective orthopaedic patients Re-audit of post-operative analgesia prescribed by anaesthetists Re-audit of Pre-operative Medication Administration (Missed Medications)Re-audit: Missed Medication Doses 2014

Critical Care OutreachNICE CG139; Central Venous Access Devices. (552-14/15)IV Fluid Management CG 174

Chronic Pain

Pain Assessment in patients with a known diagnosis of dementia. (Re-audit of 541/1415)ITU/HDU

Progress towards a NICE recovery in critical care admissions: an audit of CG83 in a district general hospital.Re-audit Central Venous Access DevicesRe-audit of mouth care practices in mechanically ventilated intensive care patients. HQIP Case Mix Programme (ICNARC) Intensive Care National Audit & Research Network 2015. Quality Accounts HQIP Case Mix Programme (ICNARC) Intensive Care National Audit & Research Network 2014. Quality AccountsAudit of the use of 4 point fixation in central line insertionTimeliness of antibiotic prescribing for patients admitted to ICU with sepsis.

DIAGNOSTICS,THERAPIES AND PHARMACYRadiology

Accuracy of myocardial perfusion study reports re-auditAppropriateness of usuage of computed tomography pulmonary angiography (CTPA) investigation of suspected pulmonary embolism (PE)CT KUB usage for renal colic by A & E DepartmentOesophageal Stent Audit Error analysis of plain film request forms

NICE CG 88 lumbar spine x-rays performed for the investigation of lower back pain re-auditNICE CG80 Audit: Breast MRI for the pre-operative evaluation of breast cancerRe-audit of reporting times to GPs for Direct Access MRI examinationsRe-audit: CT KUB in women under 25 years : Was it necessary?Re-audit: CTPA in women under thirty; Was it necessary?Re-audit: Clinical indication for CTPARe-audit: Exclusion of lens of the eye in routine CT head examinationsRe-audit: Imaging waiting times for diagnosis of deep vein thrombosis at TWH

Re-audit: Incidental Perforation of IVC filters & IVC documentation record keeping compliance Re-audit: MTW referrals to London sarcoma service How accurate is MRI in picking up clinially significant prostate cancer? NICE CG175CT reporting accuracy audit

HistopathologyAudit of the reporting of cervical LLETZs, a comparison to the RCPATH DatasetBreast cancer grading

Inclusion of malignant gynaecological pathology cases at the MTW gyaecological oncology MDMPatient histology availability from external referrals sent for review to MDTMNational Breast Screening Pathology Audit 2014 (1st report)National Breast Screening Pathology Audit 2015Re-audit: Liver biopsies request forms at a DGH Re-audit: Best practice on dataset reporting for appendiceal endocrine tumoursRe-audit: Colorectal cancer audit for lymph node harvest, incidence of EMVI & Staging

Audit to assess if cervical histology cases are correctly identified for colposcopy meetingsRehabilitation after critical cillness - Compliamce with NICE Guidelines (CG 38)An audit of histological reports content for cervical LLETZ biopsies

MicrobiologyTimliness of collection to microscopy and culturesAudit of communication and recording of positive blood culture results and advice from consultant microbiologists to cliniciansRe-audit: Diagnosis and management of catheter-associated urinary tract infectionsRe-audit: Prescription of piperacillin-tazobactam and meropenem

PharmacyAppropriate use and prescribing of posaconazole in haematology patients Assessing the appropriate use and prescribing of lidocaine 5% plastersUse of group directions in a genitourinary clinic NICE CG140 Audit: Use of buprenorphine patches at Maidstone & TWH

NICE CG161 Audit: Compliance with the MTW NHS Trust 'Falls medication review stickers' NICE CG76 - Medicines Adherence re-auditRe-audit of the Safe storage of medicines (Medicines Policy Security) 2014Re-audit of the use of PGDs for Sexual Health conditions in the hub GU Clinic at MTWRe-audit: Ward based PGD documentationRe-audit: Non-medical prescribers prescribing

TherapiesOutpatient physiotherapy treatment of low back painNICE CG32 Re-audit: Use of Naso Gastric Tubes for Enteral FeedingNICE CG 83 Rehabilitation After Critical Illness. Re-auditRe-audit: Use of the MUST screening for malnutrition Re-audit: Hand Therapy Documentation Audit

Re-audit: Physiotherapy service of Jonathan Saunders ward against the AGILE supplementary paper Re-audit: Therapy Services Documentation Audit 2015

HQIP National Chronic Obstructive Pulmonary Disease (COPD) audit - pulmonary rehabilitationEMERGENCY AND MEDICAL SERVICES

A&EHQIP CEM National audit of asthma in children 2013/14 - (Quality Account)HQIP CEM National audit of Paracetamol overdose in adults 2013/14 - (Quality Account) HQIP CEM National audit of Fitting Child (care in ED's) - (Quality Account)HQIP CEM National audit of Older People (care in ED's) - (Quality Account) HQIP CEM National audit of Mental Health (care in ED's) - (Quality Account)

NICE CG134 AnaphylaxisSenior Doctor review in ED before dischargeHQIP CEM Procedural Sedation in Adults HQIP CEM Vital Signs in Children HQIP CEM VTE risk in lower limb immobilisation in plaster cast Completeness of A&E cards when a physically injured child or adult presents at the A&E dept with safeguarding issues re-auditEnhanced Rapid Response Service (ERRS) re-audit

Acute MedicineManagement of patients presenting with Sudden Onset Headache (SAH sub-arachnoid haemorrhage)Management of hypokalaemia in adult patients at Maidstone HospitalEarly management of SepsisManagement of Hypokalaemia in adult patients re-auditNational SAMBA 15 (Society for Acute Medicine Benchmarking Audit)Management of Hypokalaemia in adult inpatients - Round 3

Cardiology National Cardiac Rehabilitation (2012-2013)(NACR) HQIP National Heart Failure - (Quality Account)

NICE CG094 - Early Management of Unstable Angina & NSTEMI in patients admitted to TWH only

HQIP National Percutaneous Coronary Interventions (Angioplasty) 2013 - (Quality Account)HQIP National Cardiac Arrhythmia (CRM) 2013 - (Quality Account)NICE CG094 - Early management of Unstable Angina & NSTEMI in patients admitted to Maidstone Hospital only HQIP National MINAP 2013/14 - (Quaity Account)HQIP National Heart Failure (Apr 13-Mar 14) - (Quality Account)National Cardiac Rehabilitation (2013-2014)(HSCIC)NICE TA120 - Heart Failure - cardiac resynchronisation - Do patients receiving CRTP/CRTD devices meet the criteria set out in NICE TA120?HQIP National Cardiac Arrhythmia (CRM) 2014 - (Quality Account)HQIP National Coronary Angioplasty 2014 - (Quality Account)HQIP National MINAP 2014/15 - (Quality Account)NICE TA249 - Atrial fibrillation - dabigatran etexilateHQIP National Heart Failure (Apr 14-Mar 15) - (Quality Account)National Cardiac Rehabilitation (2014-2015) (HSCIC)Contrast Induced Nephropathy in Post Elective Coronary Angiography Patients NICE TA94 Appropriate use of statins in patients with ischaemic heart diseaseHQIP National Cardiac Rhythm Management (CRM) 2015 - (Quality Account)HQIP National coronary Angioplasty 2015 - (Quality Account)HQIP National Heart Failure (Apr15-Mar16) - (Quality Account)HQIP National MINAP 2015/16 - (Quality Account)Inpatient Echocardiography ServiceGRACE scoring in Acute Coronary Syndrome. Is it being assessed/done?NICE CG130 Hyperglycaemia in acute coronary syndromesECG Labelling practice - reauditPacing and DC cardioversionProphylaxis against infective endocarditis sticker reviewHQIP National Cardiac Rhythm Management (CRM) 2016 - (Quality Account)

HQIP National coronary angioplasty 2016 - (Quality Account)NICE TA71 & 152; Coronary stenting at MTW (round 3) re-audit

DiabetesHQIP National Adult Diabetes Audit (NDA) 2012-13 - (Quality Account)Hypoglycaemia treatment available on wards re-auditHQIP National Diabetes Footcare auditTrustwide Diabetes Inpatient audit 2014HQIP National Adult Diabetes Audit (NDA) 2013-14 - (Quality Account)HQIP National Adult Diabetes Audit (NDA) 2014-15 - (Quality Account)HQIP National adult Diabetes Inpatient audit (NaDIA) 2015

Elderly CareParkinson's Disease Medicine Management in Hospital - Re-audit Osteoporosis prevention in older patients with frgaility fractures (NICE CG146 Osteoporosis - fragility fracture)NICE QS63 DeliriumImproved oral hygiene practices for prevention of hospital acquired pneumoniaHQIP 1st National Audit of Inpatient Falls 2015 (NICE CG161 & 103) - (Quality Account)HQIP National Fracture Liaison Service Organisational Audit 2015 (FFFAP)Urinary tract infections in in-patietns over 65 years

Endocrinology

SST (short synacthen test) and cortisol baseline results auditGastroenterology

HQIP National UK IBD 2012/13 Round 4 - (Quality Account)NICE TA187 - Crohn's Disease and infliximab at Maidstone HospitalHQIP National UK IBD Biologics 2013/14 - (Quality Account)Management of Upper GI Haemorrhage incorporating NICE CG141 Re-auditHQIP National UK IBD Biologics 2014/15 - (Quality Account)NICE CG165 Hepatitis B (chronic) (adults only)Audit of Metabolic and genetic liver disease testsNICE CG118 - Colonoscopic surveillance for prevention of colorectal cancer in people with ulcerative colitis, Crohn's disease or adenomas UC & Crohn's only criteria 1-4 and 9-10 NICE CG118 Colonoscopic surveillance for prevention of colorectal cancer in people with UC, Crohn's or adenomas (adenoma only criteria 5-10)ERCP JAG auditHQIP National UK IBD Biologics 2015/16 - (Quality Account)NICE CG86 Early recognition and diagnosis of coeliac disesae in adults re-auditNICE CG141; Management of Upper Gastrointestinal Bleeds re-auditCapsule endoscopy @ TWH re-audit

Hepatitis C - NICE TA106 peginterferon alfa and ribavirin , TA75 pegylated interferons, ribavirin and alfa interferon, TA200 peginterferon alfa and ribavirin including Genotype 1HCV re-audit NICE CG152 Crohn's DiseaseDecompensated alcolholic liver disease care bundle

General MedicineNICE CG92; VTE trustwide re-audit Management of Hyponatraemia in Medical PatientsParacetamol prescribing on hospital wards - re-auditAcute Kidney Injury and its management in Medical PatientsSpecialty Ward re-audit

NeurologyNICE CG137 - Epilepsy- adult criteria onlyNICE CG186 - Multiple sclerosis - management of multiple sclerosis in primary and secondary care (418-13/14) (232-14/15)HQIP; NICE CG35; National UK Parkinson's auditNICE CG150 Headaches - cluster headaches

NICE CG173 Management of Neuropathic pain in the outpatient non-specialist setting re-auditRespiratory

Bronchoscopy - BTS Guidelines - Tunbridge Wells HospitalNICE IPG254; Assessing the efficacy (sensitivity and specificity) and safety of Endobronchial Ultrasound (EBUS) guided transbronchial aspiration (TBNA) mediastinal lymphnode biopsies at Maidstone HospitalNIV - are we treating our patients appropriately before starting NIV? HQIP National Chronic Obstructive Pulmonary Disease (COPD) 2013 - (Quality Account)HQIP BTS National Pleural Procedures 2014 - (Quality Account)Do Not Attempt Resuscitation (DNAR) documentation and communication

HQIP National BTS Adult Community Acquired Pneumonia 2014/15 - (Quality Account)An Evaluation into current practice of Pleural Aspiration at TWHPleural Effusions - Are we managing them effectively? Re-auditHQIP BTS National Emergency Oxygen 2015 - (Quality Account)Have mental health issues been considered for patients admitted with COPD?Chest DrainsLocal NIV audit (based on BTS national audit)

RheumatologyUK multicentre audit of the Management of Rheumatoid Arthritis against Treat to Target guidelines National BSR (British Society of Rhematology) Gout audit 2013

HQIP National clinical audit of rheumatoid and early inflammatory arthritis - (Quality Account)NICE TA204 Osteoporosis Biologics (Denosumab) Criteria 2 onlyNICE TA143 & 233 Ankylosing Spondylitis - BiologicsNICE TA199 & 220 Psoriatic Arthritis - PsARC30 response criteriaNICE TA308 Vasculitis

StrokeHQIP Stroke National Audit Programme (SSNAP) - (Quality Account)Appropriateness of referrals to the TIA clinic at MTW re-audit

PAEDIATRICSAn audit of Paediatric Transfers to Teritary Centres - Do we provide all the information? (A full loop audit) An Audit of the Paediatric Early Warning Score (PEWS) ChartsRespiratoryAsthma in Children - inhaler devices management & Corticosteriods; NICE TA's 10, 38 & 13 Audit of care of children with Cystic Fibrosis at MTWAudit of Paediatric Drug Allergy PatientsHQIP National BTS Paediatric Asthma Audit (BTS) 2014 (Quality Account)HQIP National Paediatric Diabetes Audit (NPDA) 2014 (Quality Account) HQIP National Paediatric Diabetes Audit (NPDA) 2015 (Quality Account)HQIP NICE CG137 - National Childhood Epilpesy 12 Audit (Round 2)HQIP UK IBD Paediatric Audit - Biologics Round 2 (Quality Account)

HQIP UK IBD Paediatric Audit - Biologics Round 3 (Quality Account)HQIP UK IBD Paediatric Audit (Round 3) HQIP; NICE TA187; UK IBD Paediatric Audit - Biologics Round 1 (Quality Account) National Bliss Baby Charter AuditNICE CG111 - An audit of MTW's management of Nocturnal EnuresisNICE CG112; Re-audit of the quality of "feed & wrap" neonatal MRI scans and feasibility of chloral hydrate for sedationNICE CG15 - Management of Type 1 Diabetes in children and young peopleNICE CG176; Re-audit of Paediatric Neurological Documentation NICE CG54; Re-audit of Urinary Tract Infection in children: diagnosis, treatment & long term management

NICE CG55; Audit of Polycythaemia in the Newborn: Are there any factors which can be modified to reduce the risk of polycythaemia and or requiring a partial dilutional exchange transfusion? NICE CG84; Re-audit of the management of Diarrhoea and Vomiting (D&V) in childrenNICE CG99; Re-audit of Diagnosis & Management of Idiopathic Constipation in Secondary Care setting for children & young peopleNICE IPG347; Therapeutic hypothermia with intracorporeal temperature monitoring for hypoxic perinatal brain injuryPaediatric Neutropenic Sepsis Audit

Re-audit of adherence of clinic letters to Sheffield Assessment Instrument for Letters - SAILNPDA; PREM Survey 2013/14Re-audit of MRSA Screening within Paediatrics Re-audit of Neonatal Total Parental Nutrition (TPN) Re-audit of NICE CG98; the management of Neonatal Jaundice Re-audit of Paediatric Fluid Balance Charts - 2014

Re-audit of the management of children with Gastro-Oseophageal reflux / disease in MTWRe-audit of the management of DKA in Children

Re-audit of the Management of Febrile Neutropenia Patients (Paediatric Oncology Service)Retrospective audit of quality of Neonatal "Feed and Wrap" MRI Scans Self audit of Clinic Letters (SAIL)

Audit of Sweat Testing for CF in a population who have undergone Newborn Screening (NBS)Safeguarding children

Closing the Loop - Safeuarding Children; Medical Letters

Re-audit of documentation of clinical records of children suspected of being neglected or abusedRe-audit of Safeguarding Children; Are the RCPCH guidelines followed when fractures are identified on Skeletal surveys?Re-audit of GP Maternity Notification forms (Safeguarding Children)NICE CG16; Re-audit of Management of paediatric Deliberate self-harm (DSH)

NeonatesHQIP National Neonatal audit Programme (NNAP) 2014 (Quality Account) HQIP National Neonatal Audit Programme (NNAP) 2015 (Quality Account)HQIP National Neonatal Audit Programme (NNAP) 2016 (Quality Account)

SURGERYBreast Care

Does breast papilloma follow up at MTW breast unit detect any malignanciesiBRA - Implant Breast Reconstruction National Audit.

ColorectalBowel Cancer Screening time from clinic to procedure for complex patientsEndoscopic Tattoo Audit

How many patients have had bowel continuity restored by 3 years post-treatment for anal cancer.ENT

Effectiveness of ENT Ward RoundsNational Audit: MAQ: Multicentre Audit of QuinsiesWard Return Clinic Surgical outcomes of primary probing procedures for congenital naso-lacrimal duct stenosis at MTW

Re-audit: Assessing ENT department medical record keeping compliance using CRABBLE scoringAudit on the proportion of elective ENT Surgical patients who obtain their copy of the Consent formsRe-audit: Ward attenders clinic (Urgent Care Clinic)Audit of tonsillectomy analgesia and re-admission rates

General SurgeryOAKS (outcomes after kidney injury in surgery)NICE CG3; Audit of Pre-Assessment Blood Tests and Investigations for Gynae SurgeryEvaluation of average length of stay of acute surgical inpatients priot to and post introductio of ward round check list.Head injury outcome in T/Wells locally managed positive CT results

Concordance between clinic and pathological appendicitis: one year of experience in TW Hospital Clinical Effectiveness of emergency surgical services at TWH Correct identification of tumour site on endoscopy Clinical Variation in practice of cholecystectomy and surgical outcomes: a multi centre, prospective study. (CholeS Study) The use of antibiotics in the acute surgical Setting in TWH Documentation audit - EDNs in the surgical department (Closed loop audit) Re-audit: Extended thromboprophylaxis in cancer patients undergoing major abdominal surgery: An audit of NICE CG92

Extended VTE prophylaxis in oncology patients undergoing major abdominal surgery: NICE CG92NICE Guideline 174: Intravenous fluid therapy: An audit of fluid management in surgical patients at Maidstone HospitalManagement of Acute Pancreatitis

Reaudit of pathway of referrals from MTW to Kings College Hospital for (HPB/HCC) patientsFollow up after episode of diverticulitis

Breast SurgeryAudit of aseptic precautions and antibiotic prophylaxis in breast surgeryComparison of operative notes between elective and emergency surgery using the Royal College of Surgeons Best Practice Guidelines criteriaPre-operative fasting in the CEPOD surgical patient re-auditRe-admission rates following cholecystectomy NELA laparatomy outcomes local audit using NELA data download.

Audit of intestinal biopsy at endoscopy in patients with diarrhoeaHQIP Elective Surgery (National PROMS programme)2015Laparoscopic Fundopliction as a day case procedureAudit of patients undergoing major abdominal surgery for Cancer. NICE CG 92Long term treatment plan for patients with diverticulitisExtended VTW prophylaxis in oncology patients undergoing major abdominal surgery: an audit of NICE CG92 in a district general hospital

Incidence of Laparoscopic Cholecystectomies done as emergencies on CEPOD lists in TWHRe-audit to assess chemical & mechanical thromboprophylaxis in Surgical patientsRe-audit of gallstone pancreatitis management

OphthalmologyTo check visual outcomes & complications of cataract surgery The accuracy of punch biopsy results in peri-ocular tumoursNICE TA274; Effectiveness of treatment with Ranibizumab (Lucentis) intravitreal injuctions for Diabetic Macular OedemaRole of urine dip testing in opthalmology pre-assessmentNICE IPG113; Audit: Surgical and patient reported outcomes following Dacryocystorhinostomy (DCR)Outcome of dropped nuclear fragment during cataract extractionPre-operative refractive goal compared to post-op refraction in cataract patientsRe-audit of Horizontal squint surgery by Mr Bates from April 2012 to March 2014Re-audit: Referral to appointment in R3 diabetic retinopathy patients.An audit of screening to referral, consultation and treatment (photocoagulation) times in R3 diabetic retinopathy patients and re-audit of previous recommendationsNICE CG85 Glaucoma NICE CG85 re-auditRe-audit: Role of urine dip testing in opthalmology pre-assessmentRe-audit of 1 stage vs 2 stage excision of Peri-orbital Basal Cell Carcinomas (BCC)National Ophthalmology Database Audit Project 2015Audit on Consenting for Cataract Surgery and Patient SatisfactionAudit of Ophthalmic pre-op assessments

OrthopticsReferrals made to the Medway eye clinic from the School Vision Screening ServiceRe-audit of horizontal squint surgery for Mr Bates from April 2014 to March 2015

TRAUMA AND ORTHOPAEDICSAn audit on the length of stay in patients admitted for Hip Hemi-arthroplasty with and without the implementation of "Hip Precautions"Assessing accuracy of post-op notes with EDN's and actual outpatient follow up Assessment of accuracy of coding for knee surgery between surgeonsAudit of Consent for Medical Photography in Trauma & Orthopaedics

Audit of patients whose post -op improvement was lower than their expected pre-op PROMS scoreAudit of the Attendance at Trauma CallsAudit of the management of supracondylar fractures of the humerus in children at TWH against BOAST 11 National guidelinesAudit of Trauma Call DocumentationAudit of Trauma Calls at Maidstone HospitalEvaluation of wound complications following calcaneal fracture fixationConsent in arthroscopy (THR / TKR) Complications only

HQIP National Joint Registry 2015. (Quality Account)(Forms part of the National Joint Registry work stream) (Quality Account)

HQIP National Major Trauma: (Trauma Audit and Research Network - TARN). (Quality Account)HQIP National Hip Fracture Database 2015 (Quality Account)Management of open fractures against BOAST Guidelines Neck of femur fracture infections: is there a higher rate of infection in total hip arthroplasty performed for neck of femur fracture in emergency trauma theatres? NICE CG124; Completion of fractured neck of femur proforma audit NICE CG145; Management of spasticity in children and young people with non-progressive brain disorders: Paediatric Orthopaedic PatientsOpen Fracture Management AuditPatient compliance with self-administered Dalteparin injections following TKR at TWH

Re-audit of completeness of dementia C-QUIN forms for emergency admissions in T&O specialtyRe-audit of junior feedback systems in the orthopaedic department Re-audit of post operative notes in T&O Re-audit: Accuracy of listing of "Removal of metalwork" operationsRe-audit: Compliance with low molecular weight heparin for VTE prophylaxis in patients with lower-leg immobilization.Re-audit: Neck of femur fracture - Are we NICE enough? (CG124) (3rd round) The content of case discussion in trauma meetings at Tunbridge Wells Hospital WHO Surgical Safety Checklist. Time out section. A prospective audit

WOMEN'S AND SEXUAL HEALTHGynaecology

Adherence of MDT recommendations and outcomes of colposcopy in patients with high grade smears

ObstetricsAn audit of antibiotic use within the Women's departmentAn audit of Emergency LSCS in Primiparous WomenAn audit of the effectiveness of Cervical Length Measurements in Pre Term LabourAudit of Antenatal Corticosteroid AdministrationAudit of Intra-operative Novasure Failure Rate

HQIP; MBRRACE-UK; Perinatal Mortality Surveillance Report; UK Perinatal Death for births in 2013NICE CG132 - Re-audit of indications, categories and surgeons for Caesarean Section NICE CG132; Post-operative Pain Management following Elective Caesarean SectionNICE CG154; Re-audit of Diagnosis & Management of Pregnancy of Unknown Location, Ectopic & Miscarriage within the trust NICE CG156; An audit of Perinatal Risks & Outcomes in IVF PregnancyNICE CG190; Management of delay in labour using SyntocinonNICE CG190; Re-audit of the management of retained placenta - Cycle 3NICE CG63; Re-audit of management of Diabetes in PregnancyNICE CG107; Re-audit of Hypertension in Pregnancy NICE IPG144; Re-audit of the use of Cell Saver in ObstetricsRe-audit of anti-microbial prescribing in the Obstetric & Gynaecology departments

Re-audit of clinical outcomes of currently or recently pregnant (Obstetric Admissions) to ITU

Re-audit of documentation of third stage of labour within the Maidstone Birthing CentreRe-audit of Molar PregnancyRe-audit of Obstetric Theatre Fasting at Tunbridge Wells Hospital Re-audit of Outpatient Hysterscopy: A snapshot of current practiceRe-audit of the management of documentation by Screening Co-ordinators, of women with low pregnancy associated plasma protein A (PAPPA)Re-audit of the management of Maternal Sepsis in labourAudit on the management of reduced foetal movements

Midwifery

HQIP; MBRRACE-UK; Maternal - Saving Lives; Women with severe epilepsy (Quality Account)HQIP; MBRRACE-UK; Perinatal Confidential Enquiry; Antepartum stillbirth in term normally formed infants, 2014

HQIP; MBRRACE-UK; Perinatal Confidential Enquiry; Congenital Diaphragmatic Hernia 2014HQIP; MBRRACE-UK; Perinatal Confidential Enquiry; Intrapartum stillbirths and Intrapartum related Neonatal deaths (up to 28 days after birth)

HQIP; MBRRACE-UK; Saving Lives, Improving Mothers' Care 2009-2012 (Quality Account) HQIP; MBRRACE-UK; Saving Lives, Women with artifical heart valves (Quality Account)Maternity Documentation AuditNational Pregnancy in Diabetes (NPID) 2015 National Pregnancy in Diabetes Audit (NPID) 2014 NICE CG110 - Audit of the management of pregnancy and complex social factorsNICE CG129; Re-audit of Antenatal Care in Twin Pregnancies NICE CG156; Audit of Patient Fertility Care Pathway and Demographics

NICE CG37; Re-audit of Management of routine postnatal care of women & their babiesNICE CG44 - National Audit of Heavy Menstrual Bleeding (Quality Account)NICE CG62 - An audit of the management of Antenatal Care within the TrustNICE CG70; Audit of the management of Induction of Labour

NICE IPG104 - Re-audit of Impedance-controlled endometrial ablation for menorrhagia (Novasure) NICE IPG's 267, 280, 282, 283 & 284 - An audit of Prolapse Surgery Management NICE PH3; Audit of Prevention of sexually transmitted infecctions & under 18 conceptions (Criteria 9 & 10)

Sexual HealthNICE PH3; Audit of Prevention of Sexually transmitted infections & under 18 conceptions (Criteria 1-8 only Sexual Health)NICE PH43 - Hepatitis B & C - ways to promote & offer testing (Criteria 7 only)People with HIV not in care & clinic policy and practice regarding retention in care

Re-audit of presentation and management of Trichomonas Vaginalis (TV) in the GUM clinic An audit of Post-Exposure Prophylaxis (PEP) for potential HIV risk