Analysis of Outpatient Surgery Center Safety Using an Internet-Based Quality Improvement and Peer Review Program

2004 ◽  
Vol 113 (6) ◽  
pp. 1760-1770 ◽  
Author(s):  
Geoffrey R. Keyes ◽  
Robert Singer ◽  
Ronald E. Iverson ◽  
Michael McGuire ◽  
James Yates ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Peer Review ◽  
Outpatient Surgery ◽  
Surgery Center

scholarly journals Enhancement of Resident Competencies Via Participation in the Peer Review/Quality Improvement Processes and Morbidity and Mortality Presentations

2017 ◽  
Vol 75 (2) ◽  
pp. 237-239
Author(s):  
Arthur H. Friedlander ◽  
Kate Perkins ◽  
Alan L. Felsenfeld ◽  
Lindsay L. Graves ◽  
Earl G. Freymiller
Keyword(s):  
Quality Improvement ◽  
Peer Review ◽  
Morbidity And Mortality

Assessing early unplanned reoperations in neurosurgery: opportunities for quality improvement

2015 ◽  
Vol 123 (1) ◽  
pp. 198-205 ◽  
Author(s):  
Nancy McLaughlin ◽  
Peng Jin ◽  
Neil A. Martin
Keyword(s):  
Quality Improvement ◽  
Quality Indicator ◽  
Outpatient Surgery ◽  
Care Delivery ◽  
Average Length ◽  
Medical Center ◽  
Postoperative Bleeding ◽  
Time Interval ◽  
Neurosurgical Procedures ◽  
Neurosurgical Department

OBJECT Review of morbidities and mortality has been the primary method used to assess surgical quality by physicians, hospitals, and oversight agencies. The incidence of reoperation has been proposed as a candidate quality indicator for surgical care. The authors report a comprehensive assessment of reoperations within a neurosurgical department and discuss how such data can be integrated into quality improvement initiatives to optimize value of care delivery. METHODS All neurosurgical procedures performed in the main operating room or the outpatient surgery center at the Ronald Reagan UCLA Medical Center and UCLA Santa Monica Medical Center from July 2008 to December 2012 were considered for this study. Interventional radiology and stereotactic radiosurgery procedures were excluded. Early reoperations within 7 days of the index surgery were reviewed and their preventability status was evaluated. RESULTS The incidence of early unplanned reoperation was 2.6% (occurring after 183 of 6912 procedures). More than half of the patients who underwent early unplanned reoperation initially had surgery for shunt-related conditions (34.4%) or intracranial tumor (23.5%). Shunt failure was the most common indication for early unplanned reoperation (34.4%), followed by postoperative bleeding (20.8%) and postoperative elevated intracranial pressure (9.8%). The average time interval (± SD) between the index surgery and reoperation was 3.0 ± 1.9 days. The average length of stay following reoperation was 12.1 ± 14.4 days. CONCLUSIONS This study enabled an in-depth assessment of reoperations within an academic neurosurgical practice and identification of strategic opportunities for department-wide quality improvement initiatives. The authors provide a nuanced discussion regarding the use of absolute reoperations as a quality indicator for neurosurgical patient populations.

PD19-06 VIDEO-BASED PEER REVIEW OF ROBOT-ASSISTED RADICAL PROSTATECTOMY IN A STATEWIDE QUALITY IMPROVEMENT COLLABORATIVE

2015 ◽  
Vol 193 (4S) ◽  
Author(s):  
Khurshid Ghani ◽  
David Miller ◽  
Brian Lane ◽  
Richard Sarle ◽  
Andrew Brachulis ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Radical Prostatectomy ◽  
Peer Review ◽  
Robot Assisted ◽  
Quality Improvement Collaborative

scholarly journals Reciprocal peer review for quality improvement: an ethnographic case study of the Improving Lung Cancer Outcomes Project

2012 ◽  
Vol 21 (12) ◽  
pp. 1034-1041 ◽  
Author(s):  
Emma-Louise Aveling ◽  
Graham Martin ◽  
Senai Jiménez García ◽  
Lisa Martin ◽  
Georgia Herbert ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Quality Improvement ◽  
Peer Review ◽  
Ethnographic Case Study ◽  
Cancer Outcomes

Laparoscopic Cholecystectomy in a Freestanding Outpatient Surgery Center

1994 ◽  
Vol 4 (5) ◽  
pp. 291-294 ◽  
Author(s):  
GEORGE J. FARHA ◽  
BART P. GREEN ◽  
R. LARRY BEAMER
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Outpatient Surgery ◽  
Surgery Center

Group Peer Review in Psychiatry: The Relationship to Quality Improvement and Quality Care

1996 ◽  
Vol 30 (5) ◽  
pp. 653-659 ◽  
Author(s):  
Margaret Balla ◽  
Barbara Knothe ◽  
Jeanette Lancaster ◽  
Shirley Prager ◽  
Josephine Beatson
Keyword(s):  
Quality Improvement ◽  
Reflective Practice ◽  
Peer Review ◽  
Professional Growth ◽  
Qualitative Methodology ◽  
Quality Care ◽  
Clinical Work ◽  
And Function ◽  
The Relationship ◽  
Peer Review Groups

Objective: This study sought to elucidate the contribution of peer review groups involving psychiatrists to quality improvement and quality care. Method: Audio-taped interviews of groups engaged in peer review were analysed using a qualitative methodology. Participants' views of the ways in which they experienced and conceptualised peer review were explored. Results: The views of participants in peer review groups were analysed, and categories evolved which identified differences in how they perceived the structure and function of group peer review. Conclusions: Participants in the groups studied perceived peer review as a professional growth forum within a quality improvement framework providing critical review of treatment, continuing education, and a sense of collegiality. Boundaries of acceptable practice were tested and defined. At its best, participation in peer review groups enhanced reflective practice which achieved new understandings of clinical work. In this regard, peer review is seen as a highly desirable method for the maintenance of professional standards.

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