Standards of surgery beyond metropolitan centers: a fresh look at perioperative quality measures in small-town America

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• 作者：Paul Cronen ; Motaz Qadan ; Nathan Z. Hicks ; Hiram C. Polk Jr
• 关键词：Surgical quality measures ; Small-town hospitals ; Surgical time-out
• 刊名：The American Journal of Surgery
• 出版年：2010
• 出版时间：July 2010
• 年：2010
• 卷：200
• 期：1
• 页码：97-104
• 全文大小：203 K

文摘

Background

Surgical quality measures have room for improvement in both large- and small-town hospitals.

Methods

We sought concurrence of surgical specialists (general, orthopedic, gynecologic) to study accepted quality and safety parameters using a surgical time-out–based platform.

Results

Surgeons and hospitalists participated promptly and actively and recorded enhanced performance measures compared with prior work and within the period of study. Practice patterns varied, and interchange among participating hospitals was helpful.

Conclusions

Smaller institutions are more nimble than larger ones and developed interchangeable ideas for improvement. Surgical process measures improved such that all 4 hospitals are concerned about and committed to maintaining the gains.