Surgical Quality Improvement

This unique handbook is designed for surgeons involved in personal, programmatic, institutional, regional or national QI efforts. The book highlights key quality improvement principles that relate to the care of the surgical patient. Theories as well as p

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Rachel R. Kelz Sandra L. Wong Editors

Surgical Quality Improvement

Success in Academic Surgery Series editors Lillian Kao University of Texas Health Science Center at Houston Houston, TX, USA Herbert Chen University of Alabama Birmingham, AL, USA

For further volumes: http://www.springer.com/series/11216

Rachel R. Kelz  •  Sandra L. Wong Editors

Surgical Quality Improvement

Editors Rachel R. Kelz University of Pennsylvania Perelman School of Medicine Philadelphia, PA USA

Sandra L. Wong The Geisel School of Medicine at Dartmouth Hanover, NH USA

ISSN 2194-7481     ISSN 2194-749X (electronic) Success in Academic Surgery ISBN 978-3-319-23355-0    ISBN 978-3-319-23356-7 (eBook) DOI 10.1007/978-3-319-23356-7 Library of Congress Control Number: 2016959034 © Springer International Publishing Switzerland 2017 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer International Publishing AG The registered company is Gewerbestrasse 11, 6330 Cham, Switzerland

Contents

1 Quality Improvement in Surgery ��������������������������������������������������������������  1 Lillian S. Kao 2 The Science of Quality Improvement��������������������������������������������������������  9 Christina A. Minami, Karl Y. Bilimoria and Anthony D. Yang 3 Measuring Surgical Quality����������������������������������������������������������������������  27 Andrew M. Ibrahim and Justin B. Dimick 4 Are You Capable of Providing High Quality Care?��������������������������������  39 Affan Umer and Scott Ellner 5 Surgical Quality Improvement: Local Quality Improvement ��������������  45 Ira L. Leeds and Elizabeth C. Wick 6 How to Address a Quality Problem����������������������������������������������������������  55 Brandyn D. Lau and Elliott R. Haut 7 Barriers and Pitfalls in Quality Improvement����������������������������������������  65 Ryan D. Macht and David McAneny 8 Conflic