Other Events Related to Surgery or Other Procedure Abnormal bleeding Decrease of greater than As per GTT trigger definition (HQSC GTT following surgery or 25% in Hb or Hct guide) procedure Transfusion/use of blood Blood clots and other Decrease of greater than As per GTT trigger definition (HQSC GTT occlusions related to 25% in Hb or Hct guide) surgery or procedure Radiological investigation for PE/DVT Cardiac complications Post-op troponin level As per GTT trigger definition (HQSC GTT related to surgery or greater than 1.5 ng/ml guide) procedure Any operative complication Complications related to Any operative complication As per GTT trigger definition (HQSC GTT peripheral venous or guide) arterial puncture Hypotension/blood loss Transfusion/use of blood As per GTT trigger definition (HQSC GTT guide) Decrease of greater than 25% in Hb or Hct Post-op acute renal Acute dialysis As per GTT trigger definition (HQSC GTT failure guide) Raised Urea / Creatinine (> 2 x baseline) Any operative complication Post-op spinal tap/ Any operative complication Headache associated with any procedure lumbar puncture /epidural which can occur 1 5 days after – headache Premature extubation As per GTT trigger definition (HQSC GTT causing respiratory failure in PACU guide) Mechanical ventilation > 24 hours post-op Prolonged post-op ileus Any operative complication Diagnosis of ileus with nil bowel movement for 3 days or more for non-abdominal surgery and 4 days or more for abdominal surgery, with associated symptoms. Radiation related injury Any procedure/treatment As per GTT trigger definition (HQSC GTT complication guide) Any operative complication Removal retained foreign Return to theatre As per GTT trigger definition (HQSC GTT body guide) X-ray intra-op or in PACU
Other Events Related to Surgery or Other Procedure Abnormal bleeding following surgery or procedure Decrease of greater than 25% in Hb or Hct Transfusion/use of blood As per GTT trigger definition (HQSC GTT guide) Blood clots and other occlusions related to surgery or procedure Decrease of greater than 25% in Hb or Hct Radiological investigation for PE/DVT As per GTT trigger definition (HQSC GTT guide) Cardiac complications related to surgery or procedure Post-op troponin level greater than 1.5 ng/ml Any operative complication As per GTT trigger definition (HQSC GTT guide) Complications related to peripheral venous or arterial puncture Any operative complication As per GTT trigger definition (HQSC GTT guide) Hypotension/blood loss Transfusion/use of blood Decrease of greater than 25% in Hb or Hct As per GTT trigger definition (HQSC GTT guide) Post-op acute renal failure Acute dialysis Raised Urea / Creatinine (> 2 x baseline) Any operative complication As per GTT trigger definition (HQSC GTT guide) Post-op spinal tap/ lumbar puncture /epidural headache Any operative complication Headache associated with any procedure which can occur 1 – 5 days after Premature extubation causing respiratory failure in PACU Mechanical ventilation > 24 hours post-op As per GTT trigger definition (HQSC GTT guide) Prolonged post-op ileus Any operative complication Diagnosis of ileus with nil bowel movement for 3 days or more for non-abdominal surgery and 4 days or more for abdominal surgery, with associated symptoms. Radiation related injury Any procedure/treatment complication Any operative complication As per GTT trigger definition (HQSC GTT guide) Removal retained foreign body Return to theatre X-ray intra-op or in PACU As per GTT trigger definition (HQSC GTT guide)
GTT-Guide-web-Nov-2014.docx