Patient Safety and Quality Improvement in Minimally Invasive Surgery

被引:0
作者
Harris, Andrew M. [1 ]
Lewis, Isabelle R. [2 ]
Averch, Timothy D. [2 ]
机构
[1] Univ Kentucky Med Ctr, Dept Urol, Lexington, KY USA
[2] Prisma Hlth Midlands Univ South Carolina, Dept Surg, Div Urol, Sch Med, Columbia, SC 29208 USA
关键词
minimally invasive surgery; urology; evidence-based surgical guidelines; quality improvement; patient safety; preoperative outcomes; perioperative outcomes; postoperative outcomes; scoping review; 30-DAY POSTOPERATIVE COMPLICATIONS; LENGTH-OF-STAY; PERIOPERATIVE OUTCOMES; AMERICAN-COLLEGE; PARTIAL NEPHRECTOMY; RADICAL PROSTATECTOMY; CONTEMPORARY ANALYSIS; RISK; MORBIDITY; IMPACT;
D O I
10.1089/end.2022.0733
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Background: The journey of minimally invasive (MI) urology is one of quality improvement (QI) and patient safety. New techniques have been progressively studied for adoption and growth. As more advanced methods of data collection and analysis are developed, a review of the patterns and history of these principles in the development of MI urology can inform future urologic QI and patient safety initiatives.Objective: To perform a scoping review identifying patterns of QI and patient safety in MI urology.Methods: PubMed and the American Urological Association (AUA) journal search page were screened on December 2022 for publications using the search parameters "quality improvement" and "minimally invasive." Articles were screened according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for scoping reviews (PRISMA-ScR).Results: The initial literature search identified 471 articles from PubMed and 57 from the AUA journal search page. After screening, 528 articles were relevant to the topic and reviewed. Four hundred eighty-two articles were duplicates or did not meet inclusion criteria. Forty-six are included in this review.Conclusion: Urology has developed a pattern of assessing MI surgery vs the open counterpart. This includes analyzing the newest approach to understand complications, examining the factors contributing to complications, and lastly designing projects to mitigate future risk. This information, as well as advanced methods of data collection, has identified areas of improvement for new QI projects. The stage is set for a promising future with the adoption of advanced QI in daily urologic practice to improve patient safety and minimize errors.
引用
收藏
页码:170 / 178
页数:9
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