F.A.S.T

2. F.A.S.T Audits of Surgical Mortality Second Line Assessor Course

3. Can we do SLAs better…………….?

4. F.A.S.T. • Can we do SLAs better…………….? • Try F.A.S.T.

5. F.A.S.T. • Fair • Accurate • Systematic • Thorough

6. F.A.S.T. • Fair (remember) • Same sub-speciality SLA • Similar interests • Selected for ‘no bias’ • ‘Shucks’……….this could be me & my patient!

7. F.A.S.T. • Fair • Accurate • Read the data……….carefully! • Remember the context • Research the issues • Reflect on all the issues • Refine your comments………..carefully

8. F.A.S.T. • Fair • Accurate • Systematic (look for) • Systems failure • Single practitioner failure • Sequence of events • Significant co-morbidities • Subtle omission/s

9. F.A.S.T. • Fair • Accurate • Systematic • Thorough • Start at the beginning • Situational awareness is essential • Sieve for the real ‘causes’ • Select carefully ‘wording’ of your comments

10. F.A.S.T. • Fair • Accurate • Systematic • Thorough

11. F.A.S.T. • Fair • Accurate • Systematic • Thorough • Summary and Comments

12. F.A.S.T. • Summary • Accurate • Comments • Carefully constructed • They will go to the surgeon • They will ‘teach a peer’ • They may address a systems failure

13. Remember If you want to be an SLA……………. set aside the time If you don’t ……………. SAY SO!

14. Suggestion If you want to be an SLA……………. would a short course be advantage?

15. Suggestion If you want to be an SLA……………. would a short course be advantage? Most answered ‘YES’

16. Process • Training • you have just completed it • Accreditation • is not required • SLA • with payment recognises your commitment • time for response is important • CPD points • please request them

17. Thankyou