Tag Archive for ‘patient safety’

ACS seal

Revised Statement on the Development and Use of Proprietary Guidelines for Accountable Patient-Centered Care

The following Revised Statement on Proprietary Guidelines for Accountable Patient-Centered Care was developed by the Board of Governors’ Surgical Care Delivery Workgroup and approved by the ACS Board of Regents at its June 2017 meeting.

The Joint Commission

Improper sterilization and high-level disinfection of equipment challenges organizations

The causes and effects of substandard sterilization and disinfection, including lack of training and access to evidence-based guidelines, are described.


Letters to the Editor

A letter regarding a recent article published in the Bulletin and the author’s response are featured.

David B. Hoyt, MD, FACS

Looking forward – July 2017

Dr. Hoyt describes the College’s efforts to provide members of the surgical patient care team with the resources necessary to improve outcomes, including the Quality and Safety Conference, and the release of Optimal Resources for Surgical Quality and Safety.

The Joint Commission

Joint Commission releases data on challenging requirements for OBS practices

Solutions for complying with office-based surgery standards, specifically those related to clinical privileges and infection control, are summarized.

David B. Hoyt, MD, FACS

Looking forward – June 2017

Dr. Hoyt describes strategies to fill gaps in trauma care discussed at the Achieving Zero Preventable Deaths conference held at the National of Institutes of Health earlier this year.

The Joint Commission

Time-outs and their role in improving safety and quality in surgery

Errors related to misuse of time-outs and checklists as determined by The Joint Commission are highlighted as is the theme of this year’s National Time Out Day.

The Coalition for Quality in Geriatric Surgery Project

CQGS releases preliminary standards for quality surgical care for older adults

The Coalition for Quality in Geriatric Surgery launched its alpha pilot phase in January to determine reviewer feedback on its hospital-level surgical care standards for older adults.

Figure 1. Summary of survey respondents by career category

2016 ACS Governors Survey: Will acute care surgery change the surgical landscape?

Surgeons’ views on the impact of acute care surgery on patient care and general surgery practice, based on the findings of the 2016 ACS Governors Survey, are summarized.

ACS seal

American College of Surgeons 2017 statement on health care reform

The ACS has developed a statement on health care reform featuring four core principles that should be reflected in any related legislation.

Figure 1. Transfusion before and after intervention

Practice changes lower rates of transfusion, superficial SSI, and morbidity

Researchers at Golisano Children’s Hospital (GCH), University of Rochester, NY, conducted a quality improvement project to determine best practices for reducing pediatric general and pediatric orthopaedic morbidity and mortality due to transfusion and surgical site infection-related complications.

Figure 1. 11 tenets of a safety culture

Leadership is crucial to establishing safety culture, reducing adverse events

Developing a culture of safety begins with incorporating lessons learned from adverse events and near misses in order to prevent future harm.


Statement on the use of general anesthetics and sedation drugs in children and pregnant women

The following statement on general anesthetics and sedation drugs in children and pregnant women was developed by the ACS Advisory Council for Pediatric Surgery and approved by the ACS Board of Regents at its February 2017 meeting.

ACS Case Reviews in Surgery

ACS Case Reviews in Surgery and AHRQ Safety Program for ERAS: New ACS programs enhance quality patient care

This month’s column describes two ACS programs: The ACS Case Reviews in Surgery, which is intended to improve surgical skills, and the Enhanced Recovery After Surgery program, which supports evidence-based perioperative care.


Evolving insights for preventing surgeon errors: Balancing professionalism and cognition with knowledge and skill

This month’s cover story outlines how cognition and self-reflection affect performance and outcomes and provides a sample case describing how behavioral factors likely contributed to an adverse event.

Cell phone texting

The Joint Commission clarifies stance on secure text messaging of patient care orders

The Joint Commission discourages secure texting of patient care orders for several reasons, including the increased burden of entering the information manually into the electronic health record.


ACS launches AHRQ Safety Program for ERAS

The American College of Surgeons (ACS), in collaboration with the Johns Hopkins Medicine Armstrong Institute for Patient Safety and Quality, Baltimore, MD, has launched the AHRQ (Agency for Healthcare Research and Quality) Safety Program for Enhanced Recovery after Surgery (ERAS). This new surgical quality improvement program is funded and guided by AHRQ. The AHRQ Safety […]


How do we improve patient safety? A look at the issues and an interview with Dr. Britt

In his welcoming remarks at the 40th annual meeting of the Association of Veterans Administration Surgeons (AVAS) in April 2016, L. D. Britt, MD, MPH, DSc(Hon), FACS, FCCM, FRCSEng(Hon), FRCSEd(Hon), FWACS(Hon), FRCSI(Hon), FCS(SA)(Hon), FRCSGlasg(Hon), Past-President of the American College of Surgeons (ACS), expressed concern that surgeons have made little progress in the prevention of adverse […]

Dr. Britt

Conversation with Dr. Britt

Dr. Britt, ACS Past-President, shares his views on the state of patient safety in an interview with Dr. Lipshy.


The art of the deposition: Teaching residents about medical liability

This article describes a program at Maricopa Medical Center aimed at preparing residents for medical liability litigation and defines lessons learned for developing a program that prepares students for the possibility of being deposed in a liability lawsuit.


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