Accelerating surgical quality improvement in Ontario through a regional collaborative: a quality-improvement study

CMAJ Open
Timothy JacksonAvery B Nathens

Abstract

The American College of Surgeons National Surgical Quality Improvement Program (NSQIP) collaborative in Ontario, the Ontario Surgical Quality Improvement Network (ON-SQIN), was launched in January 2015. We describe its approaches to support surgical quality improvement and examine its early impact on member hospitals. All Ontario hospitals that participated in the ON-SQIN and NSQIP were included in this quality-improvement study. The primary intervention was the introduction of the ON-SQIN, and the secondary interventions included a community of practice and access to quality-improvement resources and tools. Outcome measures included the level of quality-improvement capacity, collaborative-wide aggregate data on postoperative complications, and self-reported rates of surgical site and urinary tract infections. Eighteen hospitals that enrolled in the ON-SQIN in 2015 reported an increase in their capacity for quality improvement after 18 months. Analysis of the collaborative-wide aggregate data in a 6-month period (14 748 surgical cases) revealed a substantial reduction of acute renal failure (relative risk 0.48, 95% confidence interval 0.25-0.95) and urinary tract infection (relative risk 0.77, 95% confidence interval 0.61-0.97)...Continue Reading

References

Dec 1, 1994·Annals of Surgery·P McAleese, W Odling-Smee
Sep 30, 2004·Journal of the American College of Surgeons·Justin B DimickDarrell A Campbell
Jan 24, 2012·Journal of the American College of Surgeons·Oscar D GuillamondeguiJoseph B Cofer
May 29, 2012·Journal of the American College of Surgeons·Elizabeth C WickMartin A Makary
Mar 8, 2013·The Journal of Surgical Research·Sarah E Tevis, Gregory D Kennedy
Feb 5, 2014·Journal of the American College of Surgeons·Joseph J TepasMichael S Nussbaum
May 3, 2018·BMJ Open Quality·Amit ThakkerTimothy D Jackson

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