A Canadian strategy for surgical quality improvement

Autor:	Urbach, DR; From the University of Toronto, Toronto, Ont. (Urbach, Wei, McLeod); the University of British Columbia, Vancouver, BC (Karimuddin, Hameed); the University of Manitoba, Winnipeg, Man. (Zabolotny); the Canadian Medical Protective Association, Ottawa, Ont. (Lefebvre); Dalhousie University, Halifax, NS (Walsh); McGill University, Montreal, Que. (Fata, Chaudhury); and the Mayo Clinic, Rochester, Minn. (Cleary)., Karimuddin AA; From the University of Toronto, Toronto, Ont. (Urbach, Wei, McLeod); the University of British Columbia, Vancouver, BC (Karimuddin, Hameed); the University of Manitoba, Winnipeg, Man. (Zabolotny); the Canadian Medical Protective Association, Ottawa, Ont. (Lefebvre); Dalhousie University, Halifax, NS (Walsh); McGill University, Montreal, Que. (Fata, Chaudhury); and the Mayo Clinic, Rochester, Minn. (Cleary)., Wei A; From the University of Toronto, Toronto, Ont. (Urbach, Wei, McLeod); the University of British Columbia, Vancouver, BC (Karimuddin, Hameed); the University of Manitoba, Winnipeg, Man. (Zabolotny); the Canadian Medical Protective Association, Ottawa, Ont. (Lefebvre); Dalhousie University, Halifax, NS (Walsh); McGill University, Montreal, Que. (Fata, Chaudhury); and the Mayo Clinic, Rochester, Minn. (Cleary)., Zabolotny BP; From the University of Toronto, Toronto, Ont. (Urbach, Wei, McLeod); the University of British Columbia, Vancouver, BC (Karimuddin, Hameed); the University of Manitoba, Winnipeg, Man. (Zabolotny); the Canadian Medical Protective Association, Ottawa, Ont. (Lefebvre); Dalhousie University, Halifax, NS (Walsh); McGill University, Montreal, Que. (Fata, Chaudhury); and the Mayo Clinic, Rochester, Minn. (Cleary)., Lefebvre G; From the University of Toronto, Toronto, Ont. (Urbach, Wei, McLeod); the University of British Columbia, Vancouver, BC (Karimuddin, Hameed); the University of Manitoba, Winnipeg, Man. (Zabolotny); the Canadian Medical Protective Association, Ottawa, Ont. (Lefebvre); Dalhousie University, Halifax, NS (Walsh); McGill University, Montreal, Que. (Fata, Chaudhury); and the Mayo Clinic, Rochester, Minn. (Cleary)., Walsh M; From the University of Toronto, Toronto, Ont. (Urbach, Wei, McLeod); the University of British Columbia, Vancouver, BC (Karimuddin, Hameed); the University of Manitoba, Winnipeg, Man. (Zabolotny); the Canadian Medical Protective Association, Ottawa, Ont. (Lefebvre); Dalhousie University, Halifax, NS (Walsh); McGill University, Montreal, Que. (Fata, Chaudhury); and the Mayo Clinic, Rochester, Minn. (Cleary)., Hameed M; From the University of Toronto, Toronto, Ont. (Urbach, Wei, McLeod); the University of British Columbia, Vancouver, BC (Karimuddin, Hameed); the University of Manitoba, Winnipeg, Man. (Zabolotny); the Canadian Medical Protective Association, Ottawa, Ont. (Lefebvre); Dalhousie University, Halifax, NS (Walsh); McGill University, Montreal, Que. (Fata, Chaudhury); and the Mayo Clinic, Rochester, Minn. (Cleary)., Fata P; From the University of Toronto, Toronto, Ont. (Urbach, Wei, McLeod); the University of British Columbia, Vancouver, BC (Karimuddin, Hameed); the University of Manitoba, Winnipeg, Man. (Zabolotny); the Canadian Medical Protective Association, Ottawa, Ont. (Lefebvre); Dalhousie University, Halifax, NS (Walsh); McGill University, Montreal, Que. (Fata, Chaudhury); and the Mayo Clinic, Rochester, Minn. (Cleary)., Chaudhury P; From the University of Toronto, Toronto, Ont. (Urbach, Wei, McLeod); the University of British Columbia, Vancouver, BC (Karimuddin, Hameed); the University of Manitoba, Winnipeg, Man. (Zabolotny); the Canadian Medical Protective Association, Ottawa, Ont. (Lefebvre); Dalhousie University, Halifax, NS (Walsh); McGill University, Montreal, Que. (Fata, Chaudhury); and the Mayo Clinic, Rochester, Minn. (Cleary)., McLeod RS; From the University of Toronto, Toronto, Ont. (Urbach, Wei, McLeod); the University of British Columbia, Vancouver, BC (Karimuddin, Hameed); the University of Manitoba, Winnipeg, Man. (Zabolotny); the Canadian Medical Protective Association, Ottawa, Ont. (Lefebvre); Dalhousie University, Halifax, NS (Walsh); McGill University, Montreal, Que. (Fata, Chaudhury); and the Mayo Clinic, Rochester, Minn. (Cleary)., Cleary SP; From the University of Toronto, Toronto, Ont. (Urbach, Wei, McLeod); the University of British Columbia, Vancouver, BC (Karimuddin, Hameed); the University of Manitoba, Winnipeg, Man. (Zabolotny); the Canadian Medical Protective Association, Ottawa, Ont. (Lefebvre); Dalhousie University, Halifax, NS (Walsh); McGill University, Montreal, Que. (Fata, Chaudhury); and the Mayo Clinic, Rochester, Minn. (Cleary).
Jazyk:	angličtina
Zdroj:	Canadian journal of surgery. Journal canadien de chirurgie [Can J Surg] 2019 Dec 01; Vol. 62 (6), pp. E16-E18. Date of Electronic Publication: 2019 Dec 01.
DOI:	10.1503/cjs.019318
Abstrakt:	Summary: The Canadian Association of General Surgeons (CAGS) Board of Directors hosted a symposium to develop a Canadian strategy for surgical quality and safety at its mid-term meeting on Feb. 24, 2018. The following 6 principles outline the consensus of this symposium, which included diverse stakeholders and surgeon leaders across Canada: 1) a Canadian quality-improvement strategy for surgery is needed; 2) quality improvement requires continuous, active and intentional effort; 3) outcome measurement alone will not drive improvement; 4) increased focus on standardization and process improvement is necessary; 5) new, large electronic medical record systems pose challenges as well as benefits in Canadian hospitals; and 6) surgeons in remote and rural hospitals must be engaged using tailored approaches. Competing Interests: A. Wei is a consultant with Ethicon, Ipsen, Shire and Celgene as well as a noncommercial consultant with Cancer Care Ontario. She declares honoraria from Shire and Celgene and travel assistance from Bayer. No other authors declare competing interests. (© 2019 Joule Inc. or its licensors)
Databáze:	MEDLINE
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