Creating a learning healthcare system in surgery: Washington State's Surgical Care and Outcomes Assessment Program (SCOAP) at 5 years.
Creating a learning healthcare system in surgery: Washington State's Surgical Care and Outcomes Assessment Program (SCOAP) at 5 years.
复制标题
创建外科学习医疗保健系统：华盛顿州外科护理和结果评估计划 (SCOAP)，为期 5 年。
DOI：
10.1016/j.surg.2011.08.015
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发表时间：
2012
期刊：
影响因子：
3.8
通讯作者：
Rogers,Ter
中科院分区：
文献类型：
--
作者：
SCOAPCollaborative,WritingGroupfortheSCOAPCollaborative;Kwon,Steve;Florence,Michael;Grigas,Peter;Horton,Marc;Horvath,Karen;Johnson,Morrie;Jurkovich,Gregory;Klamp,Wendy;Peterson,Kristin;Quigley,Terence;Raum,William;Rogers,Ter
在降低成本的同时，人们越来越多地努力提高手术护理的质量和安全性。在华盛顿州，有一个区域性的和独特的方法来提高手术质量。外科护理和结局评估计划（SCOAP）的发展在5年前首次被描述。SCOAP是一个点对点的协作，让外科医生参与确定进入“完美”手术的许多护理指标过程，跟踪特定于给定手术的风险调整结果，并创建干预措施以纠正使用这些过程措施和结果的表现。SCOAP是一个主题偏离报告卡为导向的QI。SCOAP建立了外科社区的合作和信任，并通过让同行改变彼此的行为来努力提高质量。在此，我们介绍了亚太区域协调委员会倡议的进展情况，并着重指出其成就和挑战。
There are increasing efforts towards improving the quality and safety of surgical care while decreasing the costs. In Washington state, there has been a regional and unique approach to surgical quality improvement. The development of the Surgical Care and Outcomes Assessment Program (SCOAP) was first described 5 years ago. SCOAP is a peer-to-peer collaborative that engages surgeons to determine the many process of care metrics that go into a “perfect” operation, track on risk adjusted outcomes that are specific to a given operation, and create interventions to correct under performance in both the use of these process measures and outcomes. SCOAP is a thematic departure from report card oriented QI. SCOAP builds off the collaboration and trust of the surgical community and strives for quality improvement by having peers change behaviors of one another. We provide, here, the progress of the SCOAP initiative and highlight its achievements and challenges.