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

被引：3

作者：

Cronen, Paul ^{[2
]}

Qadan, Motaz ^{[3
]}

Hicks, Nathan Z. ^{[3
]}

Polk, Hiram C., Jr. ^{[1
]}

机构：

[1] Univ Louisville, Sch Med, Dept Surg, Louisville, KY 40292 USA

[2] Kings Daughters Hosp & Hlth Serv, Madison, IN USA

[3] Univ Louisville, Sch Med, Price Inst Surg Res, Louisville, KY 40292 USA

来源：

AMERICAN JOURNAL OF SURGERY | 2010年 / 200卷 / 01期

关键词：

Surgical quality measures; Small-town hospitals; Surgical time-out; VENOUS THROMBOEMBOLISM; NONCARDIAC SURGERY; WOUND INFECTION; GLUCOSE CONTROL; SURGICAL TIME; BETA-BLOCKADE; HYPOTHERMIA; NORMOTHERMIA;

D O I：

10.1016/j.amjsurg.2010.04.003

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

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. (C) 2010 Elsevier Inc. All rights reserved.

引用

页码：97 / 104

页数：8

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