Does Surgical Quality Improve in the American College of Surgeons National Surgical Quality Improvement Program

Hall, Bruce L.; Hamilton, Barton H.; Richards, Karen; Bilimoria, Karl Y.; Cohen, Mark E.; Ko, Clifford Y.

doi:10.1097/sla.0b013e3181b4148f

Cited by 701 publications

(371 citation statements)

References 7 publications

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“…Also, several literature reports have shown that quality improvement can be brought about by identifying the most common adverse events. For example, when Hall et al [8] analyzed reduction in risk-adjusted adverse events in 118 hospitals participating in NSQIP, they found that 66% of hospitals improved risk-adjusted mortality and 82% improved risk-adjusted complication rates. These hospitals used ACS NSQIP data on adverse events to create best practices guidelines, develop case studies, and monitor progress.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, myocardial infarction, sepsis, UTI, and pneumonia were the most common complications after hip fracture repair. As has been demonstrated, identifying common adverse events in high-risk surgeries can dramatically improve patient outcomes [8,16]. For example, Massachusetts General Hospital identified a 7.0% rate of UTIs in the vascular surgery department using NSQIP.…”

Section: Discussionmentioning

confidence: 99%

“…In contrast to other large databases, NSQIP contains preoperative, intraoperative, and 30-day patient data that are prospectively collected by clinical reviewers through a standardized methodology. Since its inception, NSQIP has been utilized by hospitals to identify perioperative risk factors and develop surgical practices that decrease the frequency of complications and adverse events [8,9,19]. After the Veterans Affairs (VA) Healthcare System first established the NSQIP, quality improvement initiatives based on NSQIP data led to a 31% decrease in 30-day mortality across all VA hospitals [9].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Use of the National Surgical Quality Improvement Program in Orthopaedic Surgery

Molina¹,

Thakore²,

Blumer³

et al. 2015

Clinical Orthopaedics &Amp; Related Research

199

119

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Background The goal of the American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP) is to improve patient safety. The database has been used by hospitals across the United States to decrease the rate of adverse events and improve surgical outcomes, including dramatic decreases in 30-day mortality, morbidity, and complication rates. However, only a few orthopaedic surgical studies have employed the ACS NSQIP database, all of which have limited their analysis to either single orthopaedic procedures or reported rates of adverse events without considering the effect of patient characteristics and comorbidities.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Use of the National Surgical Quality Improvement Program in Orthopaedic Surgery

Molina¹,

Thakore²,

Blumer³

et al. 2015

Clinical Orthopaedics &Amp; Related Research

199

119

View full text Add to dashboard Cite

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“…21 In 2004, there were 18 participating hospitals in NSQIP, but by 2016 the number of participating hospitals had grown to 743. 22,23 Emergent procedures carried a higher risk of death than did nonemergent procedures (9.5% vs 4.5%, p < 0.001). In addition, postoperative length of stay was longer after emergent cholecystectomy.…”

Section: Original Research and Contributionsmentioning

confidence: 99%

Are They Too Old for Surgery? Safety of Cholecystectomy in Superelderly Patients (≥ Age 90)

Irojah¹,

Bell

Grim

et al. 2017

TPJ

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Context: Cholecystectomy is the most common general surgery procedure in patients older than age 65 years. By 2050, it is estimated that 2.0% of the population will be older than age 90 years.Objective: To assess the mortality of cholecystectomy in superelderly patients (≥ age 90 years).Design were open and 791 (78.6%) were laparoscopic. Mortality did not decrease significantly during the study period. The overall mortality was 5.5%, significantly less for the laparoscopic group (3.7% vs 12%, p < 0.001) and for the nonemergent group (4.5% vs 9.5%, p < 0.005). The median length of stay for open cholecystectomy was 9 days compared with 5 days for laparoscopic (p < 0.001); for nonemergent cholecystectomy it was 5 days compared with 7 days for emergent cholecystectomy (p < 0.001).Conclusion: The mortality after cholecystectomy in superelderly patients did not change significantly during the study period. The mortality and morbidity for laparoscopic and elective procedures were significantly lower than for open procedures and for emergent procedures, respectively.

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“…16 The American College of Surgeons' NSQIP indicates that surgical outcomes improve and that hospitals participating in this initiative appear to be avoiding substantial numbers of complications, improving care, and reducing costs. 7,8,10 A similar program would be very welcome for Europe as well, but participation costs and data security concerns will hamper such an initiative at least in our country in the near future.…”

mentioning

confidence: 99%

Prospective review of a single center's general pediatric neurosurgical intraoperative and postoperative complication rates

Lindert

Delye

Leonardo

2014

PED

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Object The authors conducted a study to compare the complication rate (CR) of pediatric neurosurgical procedures in a general neurosurgery department to the CRs that are reported in the literature and to establish a baseline of CR for further targeted improvement of quality neurosurgical care. Methods The authors analyzed the prospectively collected data from a complication registration of 1000 consecutive pediatric neurosurgical procedures in 581 patients from the beginning of the registration in January 2004 through August 2008. A pediatric neurosurgeon was involved in 50.5% of the procedures. All adverse events (AEs) from induction of anesthesia until 30 days postoperatively were recorded. Results Overall, 229 complications were counted in 202 procedures. The overall CR was 20.2%, with a 2.7% intraoperative CR and a 17.5% postoperative CR. Tumor surgery was associated with the highest CR (32.7%), followed by CSF disorders (21.8%). The mortality rate was 0.3%. An unplanned return to the operating room in relation to an AE happened in 10.5% of all procedures and in 52% of procedures associated with AEs, the majority of which were related to CSF disorders. Conclusions The CR in pediatric neurosurgical procedures was significant, and more than half of the patients with an AE required a repeat surgical procedure. Analysis of CRs should be a prerequisite for the prevention of complications and for the development of targeted interventions to reduce the CR (for example, infection rates).

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Does Surgical Quality Improve in the American College of Surgeons National Surgical Quality Improvement Program

Cited by 701 publications

References 7 publications

Use of the National Surgical Quality Improvement Program in Orthopaedic Surgery

Use of the National Surgical Quality Improvement Program in Orthopaedic Surgery

Are They Too Old for Surgery? Safety of Cholecystectomy in Superelderly Patients (≥ Age 90)

Prospective review of a single center's general pediatric neurosurgical intraoperative and postoperative complication rates

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