SurgicalPerformance Pty Ltd is an independent, registered Australian company based in Brisbane, Australia. Founded in 2009 by Professor Andreas Obermair, a gynaecological oncologist in active clinical practice, who identified an unmet personal need for his practice.
SurgicalPerformance is built solely for registered medical practitioners. All data transfer is encrypted, safe from interference and stored securely.
The Royal Australian and New Zealand College of Obstetricians and Gynaecologists awards 1 CPD point for every 12 cases entered into SurgicalPerformance.
No, because audit is part of the clinical routine service provision
Human Research Ethics Committee (HREC) review is only required for research but clinical (surgical) audit does not constitute research as such. The National Statement on Ethical Conduct in Human Research (2018) does not suggest that collection of data self-reflection database is a research activity. Rather, the National Statement only applies when that data is to be used in what would be recognised as a research activity (e.g., to generate a research report). Even then, there are instances when such usage may be considered low or as negligible risk research that can be exempted from review by a HREC.
The use of SurgicalPerformance requires collection of data by participating clinicians and only they have access to their own data. Users cannot access any other than their own data. Summaries of overall performance from the whole data set are provided in a de-identified, aggregate manner from which it is impossible to identify either individual patients or participating clinicians.
Self-reflection of surgical procedures is internationally recognised as a critical component of steps aimed at enhancing quality and safety in surgical practice. The ethical question should be “why is this not being done routinely?” as a lack of such data will place patients at potential risk through a lack of checks aimed at improving patient safety.
If users wish to use data for research (to be published), an HREC application is required. In most instances a low-risk application would suffice.
At SurgicalPerformance we cannot monitor whether identifiable or deidentified patient data is entered. SurgicalPerformance undertakes all necessary steps to prevent the data from being interfered with from unauthorised persons, similar to a clinical practice management system.
You will always have 24/7 access to your own data, which you can download into an Excel spreadsheet. You can generate research reports using your own data. SurgicalPerformance reserves its right to use deidentified data from all users for research purposes.
Should you wish to perform research using SurgicalPerformance’s data, you will need to make a submission to SurgicalPerformance [email protected] and apply. You will only receive de-identified data that will not allow patients or contributing clinicians to be identified.