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Am J Surg. 2010 Jul;200(1):90-6. doi: 10.1016/j.amjsurg.2010.04.004.

A closer look at surgical quality measures across different surgical specialties.

Author information

1
Taylor Regional Hospital, Campbellsville, KY, USA.

Abstract

BACKGROUND:

Most studies of surgical quality improvement have been performed in large and/or teaching hospitals; the efficacy of safety and quality efforts in smaller hospitals have not been reported.

METHODS:

Four smaller hospitals joined a collaborative to study process measures through an expanded surgical time-out and some outcomes. The data were collected in real time.

RESULTS:

Well-performing hospitals (all 4) improved further but variably. Gynecologic and orthopedic surgeons performed more consistently in most measures than did general surgeons.

CONCLUSIONS:

These small hospitals readily accepted a time-out-based real-time data collection and with their surgical staff improved in most parameters.

PMID:
20637341
DOI:
10.1016/j.amjsurg.2010.04.004
[Indexed for MEDLINE]

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