The Role of Surgical Champions in the American College of Surgeons National Surgical Quality Improvement Program - A National Survey
The Role of Surgical Champions in the American College of Surgeons National Surgical Quality Improvement Program - A National Survey
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DOI：
10.1016/j.jss.2010.10.036
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发表时间：
2011-03-01
影响因子：
2.2
通讯作者：
Morton, John M.
中科院分区：
文献类型：
--
作者：
Raval, Mehul V.;Bentrem, David J.;Morton, John M.
背景。美国外科医师学会国家手术质量改进计划（ACS NSQIP）使外科医生和医疗中心能够可靠地收集、分析和处理临床收集的结果数据。被指定为外科冠军（SC）的ACS NSQIP领导者个人如何在医院层面使用ACS NSQIP以及他们遇到的障碍尚未得到很好的研究。材料与方法。所有代表236家参与ACS NSIQP医院的SC被邀请完成一项调查，该调查旨在评估SC的作用、数据使用、持续质量改进（CQI）努力、CQI文化和财务影响。我们收到了109名（46.2%）SC的回复，其中大多数（72.5%）SC的CQI工作没有得到补偿。与可证明的CQI努力相关的因素包括参与项目的时间更长，与临床评审员的频繁会议，向管理层频繁提交数据，对外科冠军努力的补偿以及向单个外科医生提供反馈（均P < 0.05）。几乎所有的SC都表示ACS NSQIP数据改善了患者在医院层面接受的护理质量（92.4%），并且ACS NSQIP提供了无法从其他来源获得的数据（95.2%）。所有SCs都认为参与ACS NSQIP的未来资金是安全的。积极使用ACS NSQIP数据，通过定期审查数据，与临床审稿人频繁互动，并与医院管理部门和同事频繁共享数据，为SC提供了可证明的CQI。因此，供应链管理在医院层面的成功质量改进中发挥着关键作用。(C) 2011爱思唯尔公司版权所有。
Background. The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) empowers surgeons and medical centers to reliably collect, analyze, and act on clinically collected outcomes data. How individual ACS NSQIP leaders designated as Surgeon Champions (SC) utilize the ACS NSQIP at the hospital level and the obstacles they encounter are not well studied.Materials and Methods. All SC representing the 236 hospitals participating in the ACS NSIQP were invited to complete a survey designed to assess the role of the SC, data use, continuous quality improvement (CQI) efforts, CQI culture, and financial implications.Results. We received responses from 109 (46.2%) SC. The majority (72.5%) of SC were not compensated for their CQI efforts. Factors associated with demonstrable CQI efforts included longer duration of participation in the program, frequent meetings with clinical reviewers, frequent presentation of data to administration, compensation for Surgical Champion efforts and providing individual surgeons with feedback (all P < 0.05). Almost all SC stated ACS NSQIP data improved the quality of care that patients received at the hospital level (92.4%) and that the ACS NSQIP provided data that could not be obtained by other sources (95.2%). All SCs considered future funding for participation in the ACS NSQIP secure.Conclusions. Active use of ACS NSQIP data provide SC with demonstrable CQI by regularly reviewing data, having frequent interaction with clinical reviewers, and frequently sharing data with hospital administration and colleagues. SC thus play a key role in successful quality improvement at the hospital level. (C) 2011 Elsevier Inc. All rights reserved.