Quality Improvement in Surgery: the American College of Surgeons National Surgical Quality Improvement Program Approach

Older Age Increases Short-term Surgical Complications After Primary Knee Arthroplasty

“…We explored a widely used national database that is prospectively maintained by the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) [1,10]. The NSQIP is a nationally validated, outcome-based program to measure and improve the quality of inpatient and outpatient surgical care and the details of the NSQIP program are readily available [1,10].…”

“…The NSQIP is a nationally validated, outcome-based program to measure and improve the quality of inpatient and outpatient surgical care and the details of the NSQIP program are readily available [1,10]. Trained Surgical Clinical Reviewers at participating institutions collect, validate, and submit data.…”

Improving Outcomes in Colorectal Surgery by Sequential Implementation of Multiple Standardized Care Programs

“…Participation in ACS-NSQIP provides institutions with data on a systematically sampled set of operations to serve as a vehicle for quality improvement. 1,23,24 Specifically, every eighth operative day, demographic and clinical variables and 30-day outcomes on surgical patients are abstracted from the medical record by a trained surgical-clinical reviewer. The ACS-NSQIP system of data sampling has been validated, and data abstraction is routinely audited by outside surgical-clinical reviewers to ensure accuracy and consistency in data collection.…”

“…1,2 Furthermore, public reporting of hospital and surgeon outcomes data and pay-for-performance reimbursement schemes have added to the impetus to improve health care quality. [3][4][5] In colorectal surgery (CRS), engaged surgeons have focused on implementing systems of care designed to reliably provide evidence-supported practices as a mechanism to improve postoperative outcomes.…”

Calidad en cirugía: hacia una mejor comprensión de las complicaciones quirúrgicas

“…A los factores de riesgo reconocidos por Copeland 17 , le siguió la estructuración de un sistema que incorporó diversos parámetros operatorios: Stress) que puede ayudar a planificar un tratamiento quirúrgico 23,24 25 . Con el ACS se ha construido un programa nacional validado, basado en resultados y ajustado por riesgo, colocando a disposición una herramienta de cálculo del riesgo quirúrgico para un paciente particular frente a una cirugía determinada.…”