Original language | English |
---|---|
Pages (from-to) | 251-267 |
Number of pages | 17 |
Journal | Advances in Surgery |
Volume | 44 |
Issue number | 1 |
DOIs | |
State | Published - Sep 2010 |
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In: Advances in Surgery, Vol. 44, No. 1, 09.2010, p. 251-267.
Research output: Contribution to journal › Review article › peer-review
TY - JOUR
T1 - Quality improvement in surgery
T2 - The American college of surgeons national surgical quality improvement program approach
AU - Ingraham, Angela M.
AU - Richards, Karen E.
AU - Hall, Bruce L.
AU - Ko, Clifford Y.
N1 - Funding Information: Financial Disclosures: Dr Ingraham is supported by the Clinical Scholar in Residence Program at the American College of Surgeons. Dr Hall is supported by the Center for Health Policy, Washington University St Louis. Funding Information: Expansion of the NSQIP into the private sector began with 3 sites (University of Michigan, Emory University, and University of Kentucky at Lexington) participating in the NSQIP on a pilot basis beginning in 1998. This α testing was limited to general and vascular surgery and showed that the risk-adjustment models developed from data within the VA were applicable to the 3 private sector hospitals [13] . The Reporting System to Improve Patient Safety in Surgery was a patient safety grant submitted through the ACS and funded by the Agency for Health care Research and Quality (AHRQ) for the period of October 1, 2001, to September 30, 2004 (#5U18HS11913-03). The Patient Safety in Surgery Study involved 14 private sector hospitals funded by the AHRQ as well as 4 community hospitals funded by the Partners HealthCare Corporation of Massachusetts and studied major general and vascular surgery [14] . Within the AHRQ-funded hospitals, statistically significant reductions were seen in overall postoperative morbidity (8.7%, P = .002), surgical site infections (9.1%, P = .02), and renal complications (23.7%, P = .004) [15] . Before the Patient Safety in Surgery Study, no risk-adjusted surgical outcomes for the private sector were available. The results of The Patient Safety in Surgery Study, as well as the positive feedback of the 14 participating hospitals, prompted the ACS to establish the ACS NSQIP. At the end of 2004, the ACS NSQIP became an open subscription program.
PY - 2010/9
Y1 - 2010/9
UR - http://www.scopus.com/inward/record.url?scp=77956150053&partnerID=8YFLogxK
U2 - 10.1016/j.yasu.2010.05.003
DO - 10.1016/j.yasu.2010.05.003
M3 - Review article
C2 - 20919525
AN - SCOPUS:77956150053
SN - 0065-3411
VL - 44
SP - 251
EP - 267
JO - Advances in Surgery
JF - Advances in Surgery
IS - 1
ER -