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The Irish Surgical Outcomes Study (ISOS) published in The Lancet
in December 2013, has found Ireland has a surgical mortality rate of
2.5 per cent for elective non-cardiac surgery; this figure is in line with
European levels. The ISOS is an Irish rebuttal study to the European
Surgical Outcomes Study (EuSOS) which studied 28 European
countries and was published in The Lancet in September 2012. The
EuSOS reported a 6.4 per cent mortality rate for Ireland. This finding
was seriously concerning to the College. When the EuSOS data
was not made available by the UK-based authors to enable a clearer
understanding of the potential areas of concern, RCSI commissioned
a replication study (ISOS) to validate the data and the methods of
data collection.
The ISOS was a retrospective study examining patients' charts for the
same time period (April 4 to April 11, 2011) as the original study in
the same 17 hospitals with the same data collection tools from the
EuSOS in order to validate the findings. Using the same methodology,
time period and hospitals as the EuSOS, the ISOS found 25 per cent
more eligible patients, a 39 per cent lower critical care admission rate
and 68 per cent lower mortality rate than that reported by the EuSOS.
In the ISOS, 1,071 patients were identified compared to 856 in the
EuSOS. In the ISOS, 56 patients (5.3 per cent) were admitted to
critical care compared to 66 (7.7 per cent) in the EuSOS. The ISOS
identified 27 patients who died (2.5 per cent) compared to 55 (6.4 per
cent) in the EuSOS.
Professor Patrick Broe, RCSI President said: "As the national training
body for surgery in Ireland, RCSI has a responsibility to advocate for
the highest standard of surgical care for the people of Ireland. Whilst
we can never be complacent about mortality rates and we must always
remain vigilant, the ISOS results are in line with the data reported
through the hospital systems and these results are reassuring to both
patients and practitioners in Ireland"
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(L-r): Mr Michael Butler, retired surgeon and former President
of RCSI and Mr Ken Mealy, Council Member RCSI and
Consultant General Surgeon, Wexford General Hospital, at
the Millin Symposium in November.
In November 2013, more than 260 Irish surgeons attended
the annual RCSI Millin Symposium to discuss issues of
healthcare reform and their impact on the education
and training of surgeons and their practice in Ireland.
The Symposium addressed the development of hospital
networks, trauma care and the new training model for
surgical trainees in Ireland.
Mr Stephen Harrison-Mirfield has joined RCSI Bahrain as its new
Chief Operating Officer (COO) (pictured left). Stephen was a senior
executive with KPMG global consultancy group. Stephen brings
more than 16 years of human resources, technological and financial
experience to RCSI Bahrain. For the last six years, he has been Head
of Central Services for KPMG in Saudi Arabia.
RCSI Bahrain Interim President, Professor Sameer Otoom said: "I
want to wish Stephen well in his new role. Stephen has a proven
track record in successful operational management and I am
confident that he will continue to guide RCSI Bahrain in its ongoing
development as a global leader in healthcare education."
The newly created position of Chief Operating Officer will be
responsible for the oversight of all internal operational functions
that support the programmes of the University. In addition, it will
support the further development and implementation of policy and
structure of RCSI. Stephen took up his new role in October 2013.
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