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Quality improvement in surgery: introduction of the American College of Surgeons National Surgical Quality Improvement Program into New South Wales
Author(s) -
Richardson Arthur J.,
Cox Michael R.,
Shakeshaft Anthony J.,
Hodge Bruce,
Morgan Gary,
Pang Tony,
Zeng Mingjuan,
Scanlon Kate,
Austin Robyn,
Dawadi Ashma,
Burgess Crystal,
Rawstron Ellen,
Dalton Sarah,
Leveque JeanFrederic
Publication year - 2019
Publication title -
anz journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.426
H-Index - 70
eISSN - 1445-2197
pISSN - 1445-1433
DOI - 10.1111/ans.15117
Subject(s) - medicine , quality management , surgical site infection , quality (philosophy) , general surgery , surgery , family medicine , operations management , economics , management system , philosophy , epistemology
Background Quality improvement in surgery requires accurate, reliable, risk‐adjusted and comparative data. The American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP) takes reliable clinical data and provides risk‐adjusted comparisons with more than 800 hospitals. This paper describes the early outcomes of introducing this programme into New South Wales (NSW). Methods Four NSW hospitals formed a collaborative. Surgical clinical reviewers were trained and data collected. Risk‐adjusted reports were returned to individual hospitals and the NSW Collaborative. Results The results identified that the NSW Collaborative were outliers for the following causes of morbidity: urinary tract infections, surgical site infections, pneumonia and 30‐day readmissions. Conclusion We have shown that ACS‐NSQIP can be adapted to Australia and there is a plan to widen the programme in NSW.