Tag Archive for ‘quality improvement’

Hospital-based preoperative clinic applies ERAS and Strong for Surgery guidelines to optimize patients for surgery

Hospital-based preoperative clinic applies ERAS and Strong for Surgery guidelines to optimize patients for surgery

The results of an ERAS initiative and a Strong for Surgery checklist applied to colorectal surgery patients at CHRISTUS St. Michael Health System, Texarkana, TX, are summarized.

The Joint Commission

Revisiting To Err Is Human 20 years later

This month’s column examines the seminal report To Err Is Human, published two decades ago by the National Academy of Medicine, within the context of modern day, quality-related challenges.

ERAS leads to reduced length of stay for geriatric joint replacement patients

The results of a quality improvement initiative to reduce length of stay for arthroplasty patients at the Kaiser Westside Medical Center (KWMC), Hillsboro, OR, are summarized.

ACS NSQIP recognizes 88 hospitals for meritorious outcomes for surgical patient care

ACS NSQIP recognizes 88 hospitals for meritorious outcomes for surgical patient care

ACS NSQIP recognized 88 hospitals for meritorious outcomes in surgical patient care in 2018.

Figure 1. Outcomes comparison, pre-ERAS vs. ERAS

ERAS program improves outcomes in patients undergoing cytoreductive surgery and heated intraperitoneal chemotherapy

The Mayo Clinic in Arizona, Phoenix, implemented an enhanced recovery after surgery program for patients undergoing hyperthermic intraperitoneal chemotherapy, and the results and lessons learned are described.

NSQIP Case Studies

New protocol leads to improved trauma decannulation rate

This column outlines the results of a new tracheostomy decannulation protocol and lessons learned in developing the quality initiative at Christiana Hospital, Newark, DE.

Figure 1. Incidence of postoperative UTI before and after discontinuation of routine IUC placement by year

Routine Foley catheter placement affects postoperative UTIs in bariatric surgery patients

This column outlines the results of a new protocol at Stony Brook University Hospital, Long Island, NY, designed to reduce catheter-associated urinary tract infection rates.

NSQIP Case Studies

Enhanced recovery program benefits frail colon and rectal surgery patients

This column describes the implementation of an enhanced recovery program for colon and rectal surgery patients at a not-for-profit, urban, tertiary care, Level I trauma center.

Figure 2. Impact of c-spine clearance pathway: 6 months

Implementation of a pediatric trauma cervical spine clearance pathway

The efficacy of a pediatric cervical spine clearance pathway developed by Beaumont Children’s Hospital, Royal Oak, MI, is described.

ACS News

Register for 2019 ACS Quality and Safety Conference

Health care professionals dedicated to raising the bar on the quality of surgical care and patient safety are invited to attend the American College of Surgeons (ACS) 2019 Quality and Safety Conference, July 19–22 at the Walter E. Washington Convention Center, Washington, DC. “The ACS Quality and Safety Conference is likely the leading conference dedicated […]

Optimal Resources for Surgical Quality and Safety

Looking forward – April 2019

Lessons learned and next steps regarding implementing standards drawn from the principles outlined in Optimal Resources for Surgical Quality and Safety are the focus of this month’s column.

The ACS Quality and Safety Program: Louisville hospitals participate in first site visits

Summarizes the results of quality improvement initiatives as outlined in the Optimal Resources for Surgical Quality and Safety (Red Book) at two initial sites in Kentucky.

David B. Hoyt, MD, FACS

Looking forward – March 2019

The importance of a value-based system of care is the focus of this month’s column—not only reduce health care spending but to improve patient outcomes

ACS News

ACS NSQIP recognizes 83 hospitals for meritorious outcomes for surgical patient care

ACS NSQIP recognized 83 hospitals for meritorious outcomes in surgical patient care in 2017.

NSQIP Case Studies

A multidisciplinary approach reduces clostridium difficile infections in adult surgical patients

Researchers at Duke University Hospital, Durham, NC, conducted a quality improvement project to identify opportunities to reduce clostridium difficile infection.

Optimal Resources for Surgical Quality and Safety

Making quality stick: Optimal Resources for Surgical Quality and Safety: Beginning your quality improvement journey

This final excerpt from Optimal Resources for Surgical Quality and Safety provides an overview of the topics discussed in the manual.

NSQIP Case Studies

Texas Children’s Hospital introduces standardized protocol to reduce pediatric baclofen pump infections

The Texas Children’s Hospital, Houston, sought to address a comparatively high rate of implant-related infections by implementing a quality improvement plan following an analysis of pre- and post-protocol implementation outcomes of infection and complication rates.

NSQIP Case Studies

Improving high-value care of ileocolic intussusception in a pediatric ED

This column describes an ileocolic intussusception quality improvement program launched at Seattle Children’s Hospital, WA.

NSQIP Case Studies

South Miami Hospital implements strategies for prevention of SSI in bariatric surgery

Researchers at South Miami Hospital, FL, conducted a quality improvement project to determine best practices for reducing surgical site infections by enhancing preoperative patient skin antisepsis.

ACS NSQIP

ACS NSQIP honors 66 hospitals for meritorious outcomes for surgical patient care

ACS NSQIP recognized 66 hospitals for meritorious outcomes in surgical patient care in 2016.

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