Article ID Journal Published Year Pages File Type
4280365 The American Journal of Surgery 2010 8 Pages PDF
Abstract

BackgroundSurgical quality measures have room for improvement in both large- and small-town hospitals.MethodsWe sought concurrence of surgical specialists (general, orthopedic, gynecologic) to study accepted quality and safety parameters using a surgical time-out–based platform.ResultsSurgeons 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.ConclusionsSmaller 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.

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