Patient Safety and Quality Improvement Initiatives in Contemporary Metabolic and Bariatric Surgical Practice

Dan E Azagury; John Magaña Morton

doi:10.1016/j.suc.2016.03.014

Patient Safety and Quality Improvement Initiatives in Contemporary Metabolic and Bariatric Surgical Practice

Surg Clin North Am. 2016 Aug;96(4):733-42. doi: 10.1016/j.suc.2016.03.014.

Authors

Dan E Azagury¹, John Magaña Morton²

Affiliations

¹ Section of Bariatric and Minimally Invasive Surgery, Stanford University School of Medicine, Stanford University, 300 Pasteur Drive, H3680A, Stanford, CA 94305-5655, USA.
² Section of Bariatric and Minimally Invasive Surgery, Stanford University School of Medicine, Stanford University, 300 Pasteur Drive, H3680A, Stanford, CA 94305-5655, USA. Electronic address: morton@stanford.edu.

PMID: 27473798
DOI: 10.1016/j.suc.2016.03.014

Abstract

Patient safety and quality improvement have been part of bariatric surgery since its inception, and there have been significant improvements in outcomes of bariatric surgery over the past 2 decades. A strong accreditation program exists. This program defines 2 tiers of accredited centers: low-acuity and comprehensive centers similar to the trauma systems. Accreditation has been shown to have a favorable impact on outcomes of bariatric surgery. Bariatric surgery lends itself well to improvements in processes and use of perioperative protocols, such as ulcer and thromboembolic prophylaxis prevention or gallstone prevention and management.

Keywords: Bariatric surgery; Outcomes; Patient safety; Quality improvement.

Publication types

Review

MeSH terms

Accreditation
Bariatric Surgery / methods
Bariatric Surgery / standards*
Humans
Outcome and Process Assessment, Health Care
Patient Readmission
Patient Safety*
Postoperative Complications / prevention & control
Quality Improvement*
United States