Examining surgical outcomes to identify procedures needing additional QI efforts

Editor's Note

This analysis of 10 surgical procedures accrued into the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) between 2008 and 2015, identified which procedures improved the most from QI efforts and which needed more.

Hepatectomy demonstrated the greatest improvement across the greatest number of outcomes (4 of 6), and urinary tract infection rates improved across the greatest number of procedures (8 of 10).

Surgical site infection rates after pancreatectomy significantly increased, however, identifying an urgent need for additional concerted QI efforts.

Quality improvement efforts have generally focused on hospital benchmarking, and processes
and outcomes shared among all operations. However, quality improvement could be inconsistent
across different types of operations. The objective of this study was to identify
operations needing additional concerted quality improvement efforts by examining their
outcomes trends.

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