As an adjunct to traditional morbidity and mortality reviews, a teaching hospital convenes representatives from its 11 surgical groups on a quarterly basis to review mortality-related data and discuss trends, problems, and opportunities for systematic improvement, leading to lower mortality rates and better performance on a composite quality measure.
An integrated electronic system for scheduling elective surgical procedures and obtaining informed consent eliminates delays and other problems due to incomplete or missing consent forms, illegible handwriting, and missing equipment.
A safety-net hospital enhances access to timely specialist care by revamping its critical results reporting system to immediately notify surgical oncologists of imaging results that suggest a possible gastrointestinal malignancy.
A health system changed its informed consent process and document to make them more understandable, user-friendly, and interactive, leading to greater understanding of the surgical procedure and patient comfort with asking questions.
During pre- and postsurgery visits, thoracic surgeons encourage lung cancer patients to quit smoking and provide assistance to help them do so, leading to a 35 percent quit rate, which is above the average quit rate documented in other smoking cessation programs.
Regional Medical Center revised its process for tracking the current status of operating rooms to efficiently update staff and surgeons about surgical procedures that are in progress, thus allowing them to fill available gaps in the schedule and quickly respond to delays in room turnover.
Dupont Hospital introduced the principles of the Lean production model to its surgery department, leading to more than a doubling of the percentage of on-time surgery starts, from 27 to 66 percent.
The surgical hospitalist model improves care and revenues for hospital-based emergency surgical care.