Executive Leadership and Surgical Quality: A Guide for Senior Hospital Leaders

  • Susan Moffatt-Bruce
  • Robert S. D. Higgins


Healthcare and the provision thereof is a remarkable combination of skill, clinical judgment, and teamwork. This surgical teamwork requires sound and thoughtful oversight so to ensure that the appropriate leadership and administrative structure is in place. The Chief Surgical Quality and Patient Safety Officer is a primary driver of process improvement and measurement of outcomes so to ensure a culture of surgical safety and the best patient care environment. Training and resources are required, as are reporting structures and administrative committee support. Strategic alignment and leadership must be inherent to the department so to develop not only a culture of safety but also high reliability at all levels of the department. Data analytics and validation coupled with metric development and goal setting coupled with dash boarding and bench marking allow incentives and compensation to be aligned with outcomes. Innovation in process improvement and continuous engagement of the entire team ensure truly patient centric care which requires all surgeons to actively manage the tension between quality, efficiency, and patient satisfaction.


Chief Surgical Quality and Patient Safety Officer Quality metrics Performance management Culture of safety High reliability 


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Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  1. 1.Quality and OperationsThe Ohio State University Wexner Medical CenterColumbusUSA
  2. 2.Department of SurgeryJohns Hopkins Medical CenterBaltimoreUSA

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