Abstract
One method in which surgical quality can be measured is with the use of data registries, which can be accessed by users for comparative performance metrics. Several societies, such as the Society of Thoracic Surgeons, the American College of Surgeons, the Americas’ Hernia Society, and the American Society for Metabolic and Bariatric Surgery, have invested both cost (shared with institutions) and labor into data registries which can then track outcomes and be used to drive performance improvement. Risk-adjusted feedback can be critical information supplied to drive process change at the local level. Many of these registries lack patient-reported outcome measures, which would provide even more quality information to surgeons, but these are actively under development. Registries also tend to lack long-term outcome measurements, so conclusions drawn by the measured data are typically applicable in the perioperative period.
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References
Donabedian A. The quality of care. How can it be assessed? JAMA [Internet]. 1988;260(12):1743–8.
Chang V, Blackwell RH, Markossian T, Yau RM, Blanco BA, Zapf MAC, et al. Discordance between surgical care improvement project adherence and postoperative outcomes: implications for new Joint Commission standards. J Surg Res. 2017;212:205–13.
Altom LK, Deierhoi RJ, Grams J, Richman JS, Vick CC, Henderson WG, et al. Association between Surgical Care Improvement Program venous thromboembolism measures and postoperative events. Am J Surg. 2012;204(5):591–7.
Kouchoukos NT, Ebert PA, Grover FL, Lindesmith GG. Report of the Ad Hoc Committee on risk factors for coronary artery bypass surgery. Ann Thorac Surg [Internet]. 1988;45(3):348–9.
Clark RE. It is time for a national cardiothoracic surgical data base. Ann Thorac Surg [Internet]. 1989;48(6):755–6.
Khuri SF, Daley J, Henderson W, Hur K, Gibbs JO, Barbour G, et al. Risk adjustment of the postoperative mortality rate for the comparative assessment of the quality of surgical care: results of the National Veterans Affairs surgical risk study. J Am Coll Surg. 1997;185(4):325–38.
Khuri SF, Daley J, Henderson W, Hur K, Demakis J, Aust JB, et al. The Department of Veterans Affairs’ NSQIP: the first national, validated, outcome-based, risk-adjusted, and peer-controlled program for the measurement and enhancement of the quality of surgical care. Ann Surg. 1998;228(4):491–507.
Khuri SF. The NSQIP: a new frontier in surgery. Surgery. 2005;138(5):837–43.
Khuri SF, Henderson WG, Daley J, Jonasson O, Jones RS, Campbell DA, et al. Successful implementation of the department of Veterans Affairs’ national surgical quality improvement program in the private sector: the patient safety in surgery study. Ann Surg. 2008;248(2):329–36.
Hall BL, Hamilton BH, Richards K, Bilimoria KY, Cohen ME, Ko CY. Does surgical quality improve in the American College of Surgeons national surgical quality improvement program: an evaluation of all participating hospitals. Ann Surg. 2009;250(3):363–74.
Cohen ME, Liu Y, Ko CY, Hall BL. Improved surgical outcomes for ACS NSQIP hospitals over time: evaluation of hospital cohorts with up to 8 years of participation. Ann Surg. 2016;263(2):267–73.
Osborne NH, Nicholas LH, Ryan AM, Thumma JR, Dimick JB. Association of hospital participation in a quality reporting program with surgical outcomes and expenditures for medicare beneficiaries. JAMA J Am Med Assoc. 2015;313(5):496–504.
Etzioni DA, Wasif N, Dueck AC, Cima RR, Hohmann SF, Naessens JM, et al. Association of hospital participation in a surgical outcomes monitoring program with inpatient complications and mortality. JAMA [Internet]. 2015;313(5):505–11.
Fuchshuber PR, Greif W, Tidwell CR, Klemm MS, Frydel C, Wali A, et al. The power of the National Surgical Quality Improvement Program--achieving a zero pneumonia rate in general surgery patients. Perm J. 2012;16(1):39–45.
Cima R, Dankbar E, Lovely J, Pendlimari R, Aronhalt K, Nehring S, et al. Colorectal surgery surgical site infection reduction program: a national surgical quality improvement program-driven multidisciplinary single-institution experience. J Am Coll Surg [Internet]. 2013;216(1):23–33.
Lutfiyya W, Parsons D, Breen J. A colorectal “care bundle” to reduce surgical site infections in colorectal surgeries: a single-center experience. Perm J. 2012;16(3):10–6.
Thanh NX, Baron T, Litvinchuk S. An economic evaluation of the National Surgical Quality Improvement Program (NSQIP) in Alberta, Canada. Ann Surg. 2019;269(5):866–72.
Campbell DA, Englesbe MJ, Kubus JJ, Phillips LRS, Shanley CJ, Velanovich V, et al. Accelerating the pace of surgical quality improvement: the power of hospital collaboration. Arch Surg (Chicago, Ill: 1960) [Internet]. 2010;145(10):985–91.
Guillamondegui OD, Gunter OL, Hines L, Martin BJ, Gibson W, Clarke PC, et al. Using the national surgical quality improvement program and the Tennessee surgical quality collaborative to improve surgical outcomes. J Am College Surg [Internet]. 2012;214(4):709–14; discussion 714-6.
Hollenbeak CS, Boltz MM, Wang L, Schubart J, Ortenzi G, Zhu J, et al. Cost-effectiveness of the national surgical quality improvement program. Ann Surg. 2011;254(4):619–24.
McNelis J, Castaldi M. “The National Surgery Quality Improvement Project” (NSQIP): a new tool to increase patient safety and cost efficiency in a surgical intensive care unit. Patient Saf Surg [Internet]. 2014;8:19.
van Katwyk S, Thavorn K, Coyle D, Moloo H, Forster AJ, Jackson T, et al. The return of investment of hospital-based surgical quality improvement programs in reducing surgical site infection at a Canadian tertiary-care hospital. Infect Control Hospital Epidemiol [Internet]. 2019;40(2):125–32.
Nimeri AA, Bautista J, Philip R. Reducing healthcare costs using ACS NSQIP-driven quality improvement projects: a success story from Sheikh Khalifa Medical City (SKMC). World J Surg [Internet]. 2019;43(2):331–8.
Morton J. The first metabolic and bariatric surgery accreditation and quality improvement program quality initiative: decreasing readmissions through opportunities provided. Surg Obes Relat Dis. 2014;10(3):377–8.
Brethauer SA, Grieco A, Fraker T, Evans-Labok K, Smith A, McEvoy MD, et al. Employing enhanced recovery goals in bariatric surgery (ENERGY): a national quality improvement project using the metabolic and bariatric surgery accreditation and quality improvement program. Surg Obes Relat Dis [Internet]. 2019;15(11):1977–89.
Clapp B, Harper B, Barrientes A, Wicker E, Alvara C, Tyroch A. The MBSAQIP is going viral! 194 hits and still going strong. Surg Obes Relat Dis [Internet]. 2020;16(10):1401–6.
Demeusy A, Sill A, Averbach A. Current role of staple line reinforcement in 30-day outcomes of primary laparoscopic sleeve gastrectomy: an analysis of MBSAQIP data, 2015–2016 PUF. Surg Obes Relat Dis [Internet]. 2018;14(10):1454–61.
Berger ER, Clements RH, Morton JM, Huffman KM, Wolfe BM, Nguyen NT, et al. The impact of different surgical techniques on outcomes in laparoscopic sleeve gastrectomies: the first report from the metabolic and bariatric surgery accreditation and quality improvement program (MBSAQIP). Ann Surg. 2016;264(3):464–71.
Noyes K, Myneni AA, Schwaitzberg SD, Hoffman AB. Quality of MBSAQIP data: bad luck, or lack of QA plan? Surg Endosc. 2020;34(2):973–80.
Poulose BK, Roll S, Murphy JW, Matthews BD, Todd Heniford B, Voeller G, et al. Design and implementation of the Americas Hernia Society Quality Collaborative (AHSQC): improving value in hernia care. Hernia. 2016;20(2):177–89.
Sahoo S, Haskins IN, Huang LC, Krpata DM, Derwin KA, Poulose BK, et al. Early wound morbidity after open ventral hernia repair with biosynthetic or polypropylene mesh. J Am Coll Surg. 2017;225(4):472–480.e1.
Zolin SJ, Petro CC, Prabhu AS, Fafaj A, Thomas JD, Horne CM, et al. Registry-based randomized controlled trials: a new paradigm for surgical research. J Surg Res. 2020;255:428–35.
Petro CC, Zolin S, Krpata D, Alkhatib H, Tu C, Rosen MJ, et al. Patient-reported outcomes of robotic vs laparoscopic ventral hernia repair with intraperitoneal mesh. JAMA Surg [Internet]. 2021;156:22–9.
ABS practice improvement resources [Internet]. Available from: https://www.absurgery.org/default.jsp?exam-mocpa.
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Zosa, B.M., Lidor, A.O. (2022). Tracking Quality: Data Registries. In: Romanelli, J.R., Dort, J.M., Kowalski, R.B., Sinha, P. (eds) The SAGES Manual of Quality, Outcomes and Patient Safety. Springer, Cham. https://doi.org/10.1007/978-3-030-94610-4_6
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