AB110 DTD – Dissect the Dissection

A Proposed Global Healthcare Intervention Audit Framework for Longitudinal Patient-Centred Review, Accountability and Patient Safety

Muhammad Asim – Global Progress Volunteer

GLOBAL PROGRESS VOLUNTEER | Inventor | Innovator | Solution Architect

ORCID: 0000-0002-8575-4447

DOI: 10.5281/zenodo.22880399 /

Original Concept Date: 08 January 2021

Originally proposed by Muhammad Asim – Global Progress Volunteer on 08 January 2021; this paper presents a refined and expanded version of the original concept.

1. Abstract

Healthcare is fundamental to human survival, quality of life, productivity and social development. Modern healthcare systems already employ clinical audits, quality-improvement programmes, patient-safety mechanisms, professional regulation and other forms of review. However, the proposed Dissect the Dissection (DTD) framework introduces a broader patient-centred perspective: the systematic review of the medical intervention journey itself.

DTD was originally proposed by Muhammad Asim – Global Progress Volunteer on 08 January 2021. The present paper is a refined and expanded version of that original concept, incorporating a broader longitudinal patient-intervention perspective.

DTD proposes that significant healthcare interventions should be reviewable not merely through their documentation, but through the clinical reasoning, evidence, necessity, alternatives, risks, outcomes and subsequent consequences associated with them.

The proposed framework encompasses consultations, diagnostic tests, laboratory investigations, imaging, medicines, treatments, referrals, procedures, surgeries, hospitalizations, discharge decisions, follow-up visits and subsequent interventions. It further proposes that the patient's longitudinal healthcare history should be maintained in appropriately structured form, alongside applicable clinical and legal records, so that authorized reviewers can reconstruct and assess the patient's intervention journey over time.

DTD does not assume that an adverse outcome proves inappropriate care, nor that a successful outcome proves that an intervention was necessary. Instead, it proposes a structured review of the decision-making process and evidence available at the relevant time.

The framework recognizes the potential value of digital healthcare information and responsible information continuity while emphasizing privacy, consent, cybersecurity, applicable law and governance. Detailed technical implementation mechanisms are intentionally outside the scope of this publication.

DTD is therefore proposed as a conceptual global healthcare framework for strengthening patient safety, clinical accountability, transparency, evidence-based care and continuous quality improvement.