Applying international organization for standards 9001 to create an effective surgical quality committee
| Autor: | Donna Willeumier, Edwin Anderson, Douglas P. Slakey, Kelly Guglielmi, James S. George |
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| Rok vydání: | 2020 |
| Předmět: |
Internationality
media_common.quotation_subject Advisory Committees 03 medical and health sciences Patient safety 0302 clinical medicine Surgical safety Health care Surgical site Medicine Humans Quality (business) Operations management media_common Quality Indicators Health Care business.industry General Medicine Quality Improvement Acs nsqip Quality management system 030220 oncology & carcinogenesis General Surgery 030211 gastroenterology & hepatology Surgery business Surgical Infections |
| Zdroj: | American journal of surgery. 221(3) |
| ISSN: | 1879-1883 |
| Popis: | Background Efforts to improve surgical safety are limited by several factors and no consensus exists regarding the most effective way to improve surgical quality. The use of ISO 9001 quality standards within healthcare is recognized but has not been widely applied for improving surgical outcomes. Methods A surgical quality committee was created using ISO 9001:2015 standards. Quality objectives were assessed to understand how any suggested changes will be impacted due to risks and opportunities inherent in the system. Results The initial quality focus was on surgical site infections in 5 services. Change in surgical infection ratio from 2018 to 2019 showed significant improvement: coronary bypass 1.288 vs. 0.901; Colon 1.359 vs. 0.589; Hysterectomy 2.119 vs. 1.022; Knee 1.391 vs. 0.306; Hip 0 vs. 0.302. Conclusions This is one of the first studies using ISO 9001 to improve surgical quality. The results indicate both acceptance and success of applying continual improvement strategies. |
| Databáze: | OpenAIRE |
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