Impact of the surgeon of the week system in an academic pediatric surgery practice

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• 作者：Paulette I. Abbas ; Irving J. Zamora ; Simone C. Elder ; Timothy C. Lee ; Jed G. Nuchtern ; ^{nuchtern@bcm.edu" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Attending surgeon ; Rounding surgeon ; Patient safety ; Nursing satisfaction
• 刊名：Journal of Pediatric Surgery
• 出版年：2016
• 出版时间：April 2016
• 年：2016
• 卷：51
• 期：4
• 页码：634-638
• 全文大小：935 K

文摘

A pilot rounding surgeon of the week (SOW) program was implemented in our institution on July 2013 to improve patient care through focused attending rounds. The purpose of this study was to assess the impact of the SOW.

Methods

We performed a descriptive retrospective study from a single, large-volume academic center. Data were collected from July to December 2013 (post-SOW) and compared to July to December 2012 (pre-SOW). Outcomes included patient safety (safety reports) and team productivity (billing data). We also evaluated nursing satisfaction through a 10-point Likert scale survey.

Results

The total number of patient safety complaints decreased after the SOW (37 pre-SOW versus 27 post-SOW). Work relative value units (wRVUs) increased by 8% while nonoperative billing increased by 15%. Twenty of the daytime nursing staff completed the survey and overall satisfaction with the SOW was 8.3. Twelve were employed prior to the SOW and, when analyzed independently, the proportion of employees satisfied with nursing to physician communication was higher after the SOW (55% pre-SOW vs. 83% post-SOW, p = 0.13) as was perception of parental satisfaction (33% vs. 75%, p = 0.04).

Conclusions

The SOW program appears to improve patient safety as evidenced by a decrease in patient safety events. Additionally, the SOW program led to higher ancillary staffing satisfaction and perceived parental satisfaction without decreasing revenue. This study suggests that the SOW may be a beneficial program that could be considered at other large-volume institutions.