Measuring Surgical Quality: Comparison of Postoperative Adverse Events with the American College of Surgeons NSQIP and the Thoracic Morbidity and Mortality Classification System

Tracheostomy Placement in Children Younger Than 2 Years

“…Other procedure-specific quality improvement initiatives, such as those targeting spinal fusion, pancreatectomy, and vascular surgery, have demonstrated the importance of defining risk factors and outcomes. [21][22][23][24] Risk factors to be included in the procedure-specific module will likely include the primary indication for a tracheostomy, type of tracheostomy collar, stomal and/or retention suture placement, and type of protective dressing.…”

“…Inclusion of cardiac risk factors, intraventricular hemorrhage, and preoperative nutritional support is important for characterizing preoperative factors that might be drivers for the high rate of complications in this patient population and determining whether differences in complication rates are owing to these preoperative factors or to the effectiveness of potential quality improvement initiatives. At the same time, consistent with other quality improvement initiatives developed following initial analysis of NSQIP data, [21][22][23][24] otolaryngology-specific preoperative risk factors and postoperative sequelae will be included to identify meaningful postoperative outcomes for actionable quality improvement.…”

The Impact of Implementation of the European Association of Urology Guidelines Panel Recommendations on Reporting and Grading Complications on Perioperative Outcomes after Robot-assisted Radical Prostatectomy

“…prostate cancer (PCa), the rate of postoperative complications after robot-assisted 48 radical prostatectomy (RARP) ranges between 3 and 40% and varies according to 49 patient characteristics, technique and surgical experience [2,3]. Nonetheless, 50 heterogeneity in the definition of complications and assessment tools might in part 51 explain such a huge variability in reported outcomes, where the adoption of standardized definitions and data collection systems would allow for a better characterization of surgical results, comparison of surgeons or techniques and 54 preoperative counseling [3][4][5][6]. The EAU guideline panel recently released ad hoc 55 recommendations on reporting and grading of complications after urologic procedures [7].…”

Enhanced Recovery Decreases Pulmonary and Cardiac Complications After Thoracotomy for Lung Cancer

“…Lung resection is associated with significant morbidity, such as pneumonia, respiratory failure, prolonged air leak, atrial arrhythmias, and acute/chronic pain [7,8]. Recent studies have shown ERAS pathways can be successfully implemented after thoracic operations.…”