Reports and Publications

Joint Forum

The Clinical Excellence Commission recently facilitated the inaugural joint forum of the Collaborating Hospitals' Audit of Surgical Mortality (CHASM) Committee and the Special Committee Investigating Deaths Under Anaesthesia (SCIDUA). This new initiative was designed to review a case which progressed through both mortality programs and identify relative clinical learnings.

The outcomes paper from the joint forum and the deidentified case are provided with a letter from the Committee Chairs. Together, these documents demonstrate the complexities that clinicians encounter, along with the challenges of clinical management.

Note: Disclosure of the case example has been approved by the Minister for Health for the purposes of education.


CHASM Casebook 2018

CHASM Casebook 2018

This casebook presents six selected cases and includes a commentary for learning.

Download PDF ~13.5MB
CHASM Casebooks

CHASM Casebook 2017

This casebook presents 15 selected cases and includes a commentary for learning.

Download PDF ~600KB

CHASM Casebook library

Program reports

CHASM Program and Annual Reports

CHASM program reports

NOTE: An erratum has been issued for the CHASM Program Report 2009-2010, since its release in January 2013.
Figure 11: Distribution of audited deaths by operative status and perceived risk of death before surgery, was incorrectly labelled in the legend. This figure has been revised - PDF ~210kb and replaced in the report.

Individualised Local Health District Reports 2008 - 2014

Individualised Local Health District Reports (2014)

These individualised reports present the CHASM data of 16 local health districts. Each report presents the program participation and audit findings at the Local Health District between 2008 and 2014.

Download PDF

CHASM conference posters