Full Description
In this thoroughly revised second edition of the frequently downloaded manual, The SAGES Manual of Quality, Outcomes, and Patient Safety. A panel of experts update and expand their survey of the many factors that influence quality in the world of surgery, surgical outcomes, and threats to patient safety. Among the highlights include a section devoted to threats to quality and outcomes and safety, such as surgeon wellness and burnout, disruptive behavior, second victims, the surgeon with declining skills, and maintaining quality in the setting of a crisis. Another all-new section focuses on surgical controversies, such as whether or not to use robotic surgical technology and whether or not it influences surgical outcomes; whether or not routine cholangiography reduces the common bile duct injury rate; whether or not having a consistent operating room team influences surgical outcomes, and whether a conflict of interest truly influences surgical quality. Further, this manual updates chapters on surgical simulation, teamwork and team training, teleproctoring, mentoring, and error analysis.
State-of-the-art and readily accessible, The SAGES Manual of Quality, Outcomes, and Patient Safety, Second Edition will offer physicians strategies to maintain surgical quality in a rapidly changing practice environment the tools they require to succeed.
Contents
Defining Quality in Surgery.- Never Events in Surgery.- Surgical Dashboard for Quality.- Understanding Complex Systems and How It Impacts Quality in Surgery.- Clinical Care Pathways.- Tracking Quality: Data Registries (NSQIP, MBSAQIP, AHS-QC, etc.).- Accreditation Standards: Bariatric Surgery.- Training for Quality: Milestones, Mentoring, EPAs.- Implementing Quality Improvement at Your Institution.- Creating and Defining Quality Metrics That Matter in Surgery.- The Role of the Surgical Society in Quality.- Perioperative Risk Assessment.- The Current State of Surgical Outcomes Measurement.- Developing Patient-Centered Outcomes Metrics.- Optimizing Surgical Outcomes: Enhanced Recovery Pathways .- Optimizing Pain Management: Non-opioid pain management.- Taxonomy of Errors: Adverse Event/Near Miss Analysis.- Disclosure of Complications and Error.- Avoidance of Complications.- Safe Introduction of Technology.- Quality, Safety, EMR.- Surgical Timeout, Briefing and Debriefing: Safety in the Operating Room.- Effective Communication for Teamwork and Patient Safety.- Energy/Safety in the OR.- Patient Safety Indicators as Benchmarks.- Culture of Safety and Era of Better Practices.- Learning New Operations.- Team Training.- Simulation and OR Team Performance.- Debriefing After Simulation.- Simulation for Bad News.- Teleproctoring.- Training for Quality: Fundamentals Program.- Training to Proficiency.- The Critical View of Safety: Creating Procedural Safety Benchmarks.- Surgical Mentoring.- SAGES Commitment to Surgical Quality, Outcomes, and Safety.- Surgeon Wellness: Strategies to Avoid Burnout.- The Disruptive Surgeon.- The Second Victim: Handling Bad Outcomes (Paget).- The Surgeon in Distress: How to Train a Surgeon as their Skills Decline.- Fatigue in Surgery: Managing an Unrealistic Work Burden.- Training New Surgeons: Maintaining Quality in the Era of Work Hours Regulations.- Maintaining Surgical Quality in the Setting of Surgical Crisis.- Robot or Not Robot - Hernia.- Consistent Operating Room Team.- Routine vs Selective Cholangiography for Prevention of CBD Injury.- OR attire - does it impact quality?.- Provision of Less Care/Withdrawal of Care.- Changing Paradigm in Trauma vs General Surgery: Who is Best to Offer the Care?.- Super-subspecialization of general surgery - is this better for patients?.- What is the Connection Between Conflict of Interest and Patient Safety/Outcomes/Quality.
