scholarly journals PRESIDENTIAL SYMPOSIUM: OPTIMIZING SURGICAL CARE FOR ALL OLDER ADULTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S400-S400
Author(s):  
Thomas Robinson ◽  
Ronnie Rosenthal
Keyword(s):  
Older Adults ◽  
Quality Improvement ◽  
Surgical Care ◽  
Social Needs ◽  
Geriatric Surgery ◽  
Patient Centered ◽  
Improvement Program ◽  
Continuous Quality ◽  
Operative Care ◽  
The Individual

Abstract Our program will provide a detailed overview with an emphasis on the research aspects of the new Coalition for Quality in Geriatric Surgery, a project supported by the American College of Surgeons and the John A. Hartford Foundation. This project is a national endeavor which aims to systematically improve the surgical care of older adults by establishing a verifiable quality improvement program with standards based on best evidence focused on what matters most to the individual patient. We believe there is a critical need for safe, high-quality, patient-centered surgical care for older adults. Aging surgical patients have unique physiological needs, social needs and unique goals of care. We formed the Coalition to help hospitals meet these rising needs by setting and verifying interdisciplinary standards and developing outcome measures that matter to older patients, families and caregivers. In collaboration with our 50+ stakeholder organizations, we have set the standards, developed measures that matter, educated providers and patients, and created awareness about the surgical needs of older adults at all hospitals through the program. The geriatric surgery program, set to launch in the Summer of 2019, will use the four principles of continuous quality improvement: set standards, define the right infrastructure, collect rigorous data, and verify. The program not only improves perioperative care, but also impacts the full cycle of care for older adults. Our group has harnessed the power of networks through partnership and collaboration of all disciplines involved in the peri-operative care of older adults.

scholarly journals Use of Medication Error Simulations in Continuing Professional Education to Effect Change To Practice

2020 ◽  
Vol 11 (1) ◽  
pp. 7
Author(s):  
Jeanne Frenzel ◽  
Heidi Eukel ◽  
Rebecca Brynjulson
Keyword(s):  
Quality Improvement ◽  
Training Program ◽  
Continuous Quality Improvement ◽  
Professional Education ◽  
Continuing Professional Education ◽  
Improvement Program ◽  
Effect Change ◽  
Improvement Plan ◽  
Continuous Quality ◽  
Pharmacy Technicians

Introduction: A novel continuing professional education CPE training program and simulation were used to teach pharmacists and pharmacy technicians about continuous quality improvement and how to identify, report, and communicate information regarding medication related errors using root cause analysis.   Methods: Pharmacists and pharmacy technicians attending a statewide pharmacy association meeting voluntary attended a CPE training program and simulation.  During the simulation, learners investigated and identified medication related errors in three different pharmacy settings.  A collection of items found at each pharmacy and audio recordings were used by learners to identify the medication related error.  After each simulation, facilitators led a debriefing to discuss the learners’ experiences.  Data was collected using online surveys.  Descriptive statistics and chi-square tests were used to analyze the data. Results:  Fourteen months following the program, 15 of the 67 participants responded to an anonymous survey.  Of the 15 responding participants, 73.3% (11/15) were confident or very confident they could establish or maintain a high-quality continuous quality improvement plan at their practice site.  Sixty percent (9/15) felt the experience reinforced their current practices, 13.3% (2/15) had implemented changes to their practice, and 13.3% (2/15) felt they needed more information before considering changes to their practice.  Reported barriers to establishing a continuous quality improvement program were time constraints, 40.0% (6/15), system constraints, 26.7% (4/15), or lack of staff 20.0% (3/15). Conclusion: A CPE training program and simulation reinforced practice for pharmacy personnel, resulted in changes to practice, and positively increased participants’ confidence in establishing a continuous quality improvement plan in the workplace.    Article Type: Note

Linking Process and Outcome of Care in a Continuous Quality Improvement Program for Anesthesia Services

1994 ◽  
Vol 9 (3) ◽  
pp. 129-137 ◽  
Author(s):  
Karen L. Posner ◽  
Deborah Kendall-Gallagher ◽  
Ian H. Wright ◽  
Beth Glosten ◽  
William M. Gild ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Continuous Quality Improvement ◽  
Quality Improvement Program ◽  
Improvement Program ◽  
Continuous Quality ◽  
Process And Outcome

scholarly journals FUTURE DIRECTIONS: DISSEMINATION OF STANDARDIZED GERIATRIC SURGERY CARE NATIONALLY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S401-S401
Author(s):  
Mark Katlic
Keyword(s):  
Older Adults ◽  
Quality Of Care ◽  
Surgical Care ◽  
First Year ◽  
Geriatric Surgery ◽  
High Quality ◽  
Future Directions ◽  
Medical Centers ◽  
National Initiative

Abstract The American College of Surgeon’s Coalition for Quality in Geriatric Surgery will formally launch a national initiative aimed to improve the quality of surgical care for all older adults in July 2019. The first-year goal will be to recruit and successfully verify 100+ medical centers. This presentation will provide an overview of dissemination efforts for the standards set for providing high quality surgical care for older adults as well as processes to measure the quality of care provided to older adults at these medical centers. It our vision that this national initiative will lead the effort to the improvement of surgical care of all older adults.

Up Close and Personal: A Statewide Collaborative's Effort to Get Individual Surgeon Quality Improvement Data to the Practitioner

2016 ◽  
Vol 82 (3) ◽  
pp. 192-198
Author(s):  
Brian J. Daley ◽  
William Cecil ◽  
Joseph B. Cofer ◽  
P. Chris Clarke ◽  
Oscar Guillamondegui ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Best Practice ◽  
Quality Improvement Program ◽  
Surgical Morbidity ◽  
Improvement Program ◽  
Surgical Quality ◽  
Prolonged Intubation ◽  
Personal A ◽  
Individual Surgeon ◽  
The Individual

Ranking of surgeons and hospitals focuses on procedure volume and hospitality. The National Surgical Quality Improvement Program provides vetted outcomes of surgical quality and therefore can direct improvement. Our statewide collaborative's analysis creates personalized surgeon data to drive quality improvement. Statewide National Surgical Quality Improvement Program data generated specific measures from 103,656 general/vascular cases and identified individual surgeon's outcome of occurrences and length of procedure. We assumed a normal distribution and called the top 2.5 per cent as exemplars and the bottom 2.5 per cent as outliers. For length of operation, a standard duration was calculated, and identified outliers as longer than the 95th percentile of the upper confidence interval/procedure. Since 2009, sharing best practice reduced statewide mortality rate by 31.5 per cent and postoperative morbidity by 33.3 per cent. For length of surgery, long outliers have more complications (urinary tract infection, organ space/surgical site infection, sepsis, septic shock, prolonged intubation, pneumonia, deep venous thrombosis, deep incisional infection, and wound disruption). No significant trends in surgeon performance were seen over 24 months. A statewide collaborative has resulted in substantial risk-adjusted reductions in surgical morbidity and mortality. These results of the individual surgeon demonstrate best practices are shared, a proven tool for improvement in our collaborative.

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