Tag Archive for ‘quality improvement’

Managing postoperative pain while limiting opioid prescriptions

Opioid abuse has come to the forefront of medical issues in recent years. What began in the 1990s with an increase in opioid prescriptions, fueled by a desire to better treat pain and reassurances from pharmaceutical companies on safety, developed into a crisis affecting nearly 1.7 million individuals by 2017, according to the National Institute […]

I COUGH provides blueprint for sustainable quality improvement

The I COUGH program, which seeks to prevent non-ventilator-associated postoperative pulmonary complications, is a model for other sustainable quality improvement initiatives.

ACS Quality and Case Studies

Virtual acute care for older patients reduces hospital length of stay

A quality improvement initiative implemented by the University of Alabama at Birmingham improved patient mobility and decreased hospital length of stay for an older surgical patient population.

ACS Quality and Case Studies

Keep calm and stay out of the ICU: A comprehensive approach to reducing unplanned ICU admissions

The results of a quality improvement initiative to decrease unplanned intensive care unit admissions at Geisinger-CMC, Scranton, PA, are summarized.

ACS Quality and Case Studies

Postoperative pain and nausea protocols decrease LOS without increasing readmissions after laparoscopic gastric bypass

Analgesic and nausea protocols deployed across four phases of operative care in patients at The University of Maryland Medical Center, Baltimore, resulted in a reduced length of stay without increasing readmissions.

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.

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