A closer look at surgical quality measures across different surgical specialties

American Journal of Surgery
James M WatkinsHiram C Polk

Abstract

Most studies of surgical quality improvement have been performed in large and/or teaching hospitals; the efficacy of safety and quality efforts in smaller hospitals have not been reported. Four smaller hospitals joined a collaborative to study process measures through an expanded surgical time-out and some outcomes. The data were collected in real time. Well-performing hospitals (all 4) improved further but variably. Gynecologic and orthopedic surgeons performed more consistently in most measures than did general surgeons. These small hospitals readily accepted a time-out-based real-time data collection and with their surgical staff improved in most parameters.

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Citations

Sep 29, 2011·Annals of Surgery·Kirby I BlandJohn E Niederhuber
Jul 20, 2010·American Journal of Surgery·Hiram C PolkSusan Galandiuk

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