Tag Archive for ‘quality improvement’
QI Project Aims to Reduce Surgical Specimen Collection Errors
Outlines best practices for reducing errors in the surgical specimen collection process, including standard specimen triage and transport practices.
New ACS Quality Improvement Course educates care teams on surgical quality and safety
The ACS Quality Improvement Course: The Basics is a self-paced online course intended for anyone working in a surgical care setting with an interest in learning the foundations of quality improvement.
ACS NSQIP recognizes 90 hospitals for achieving meritorious outcomes for surgical patient care
A total of 90 hospitals have been recognized for achieving meritorious outcomes for surgical care in 2020 by the ACS National Surgical Quality Improvement Program.
Lessons learned about the ACS Quality Verification Program and pilot hospitals’ pandemic response
Describes how ACS QVP standards helped guide hospital leaders in effectively responding to the COVID-19 pandemic and highlights how this program establishes a national model for surgical quality through a scalable infrastructure.
2020 Eisenberg Award winners show dedication to QI despite challenges of pandemic
The notable achievements of the recipients of the 2020 John M. Eisenberg Patient Safety and Quality Awards are highlighted.
Your ACS benefits: SSR helps surgeons track outcomes and learn from their data
Describes the benefits of the ACS Surgeon Specific Registry, specifically how it allows participants to track their cases, measure outcomes, and comply with changing regulatory requirements.
Profiles in surgical research: Kamal M.F. Itani, MD, FACS
Kamal M.F. Itani, MD, FACS—chief of surgery, Veterans Affairs Boston Health Care System and a leader in health services research—is the latest physician to be profiled in this ongoing series.
Using the palliative performance scale to increase goals of care conversations
The results of a quality improvement initiative at Rutgers New Jersey University Hospital, Newark, focused on increasing goals of care conversations in older patients with low pre-injury palliative performance scale scores.
Reducing duration of postoperative prophylactic antibiotics in neonatal surgery
The results of a quality improvement initiative in the intensive care unit at the Hospital for Sick Children, Toronto, ON, focused on reducing inappropriate prophylactic antibiotic use in neonatal patients.
Reducing returns to the operating room
Technology has continued to drive advances in surgery toward more minimally invasive, cost-conscious, patient-centric procedures. At the same time, the battle to prevent surgical complications has taken center stage as a means to improve patient outcomes and reduce overall health care costs for both patients and hospitals. Complications and their associated costs after surgical intervention […]
Australian hospital calls in the COPS to improve care of older patients
As the world’s population ages, older people are increasingly presenting to the hospital with surgical problems that require assessment and management. Older patients face different challenges than their younger counterparts, including an increased risk of complications, death, and functional decline.1,2 The presence of frailty, cognitive impairment, and multiple comorbidities also contributes to poorer postoperative outcomes […]
Hospital aims to stop the clot in neurosurgery
Venous thromboembolism (VTE) occurrences are defined by a deep vein thrombosis (DVT), pulmonary embolism (PE), or both. VTE affects nearly one in 1,000 people and contributes to 60,000–100,000 deaths annually.* Risk factors for VTE can be both hereditary and acquired. We have come to understand that patients who require surgery are at a higher risk […]
Pediatric surgeons and gastroenterologists collaborate with outpatient community services to streamline outpatient gastrostomy tube placement
Gastrostomy tube (G-tube) placement is often a crucial component in a medically complex child’s care and one of the more common procedures performed at children’s hospitals; however, approaches to patient counseling and postoperative management for this procedure varies. Families often agonize over the decision and worry about their ability to care for their child after […]
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.
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.
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.
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
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.
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.