The SAGES Manual of Quality, Outcomes and Patient Safety

DESCRIPTION

The SAGES Manual of Quality, Outcomes and Saftey concisely summarizes important concepts to improve patient care at a systems level. While the focus is on advanced laparoscopy and innovative technology, the principles and examples in this book can be useful across disciplines and subspecialties. The volume sheds light on issues and behaviors both pre-op, intra- op and post-op that will decrease adverse outcomes and improve quality of care. No other book in General Surgery promotes team work, communication and better practices like The SAGES Manual for Quality, Outcomes and Safety.

TABLE OF CONTENTS

• PART I: PATIENT SAFETY IS QUALITY.
• Defining Quality in Surgery.
• Never Events.
• Creating a Surgical Dashboard for Quality.
• Patient-Centered Outcomes: Patient Satisfaction and Quality of Life Assessment.
• Quality, Safety and Electronic Medical Records.
• Leading Change: System Improvement.
• Surgical Timeout and Retained Foreign Bodies
• Patient Safety in the Operating Room.
• SAGES Laparoscopic Surgery Safety Checklist.
• Faculty Hour: A Model for Interdisciplinary Quality Improvement.
• Creating Effective Communication and Teamwork for Patient Safety.
• Clinical Care Pathways.
• Data Drives Quality
• ACS
• NSQIP.
• Clinical Research Improves Patient Care.
• National Patient Safety Guidelines.

• PART II - UNDERSTANDING ERROR.
• Taxonomy of Errors: Adverse Event/Near Miss Analysis.
• Disclosure of Complications and Error.
• Second Opinion and Transfer of Care.
• Morbidity and Mortality Conference.

• PART III - PREOPERATIVE RISK ASSESSMENT.
• Preoperative Risk Assessment –
• Anesthesia.
• Preoperative Cardiac Considerations in General Surgical Patients.
• Pulmonary Effects of Obesity and Assessment for Bariatric Surgery.
• Contraindications to Laparoscopy.

• PART IV - COMMON COMPLICATIONS & MANAGEMENT.
• Common Complications and Management.
• Common Endoscopic Complications: Recognition and Management.
• Energy and Energy Safety in the Operating Room.
• Laparoscopic Cholecystectomy: Complications and Management.
• Antireflux Surgery for GERD.
• Complications of Bariatric Surgery.
• Complication in Colorectal Surgery.
• Solid Organ Surgery.
• Outline for Sages, handbook of safety, and improved clinical outcomes.
• Video-Assisted Thoracic Surgery: Complications and Management.
• Robotic Surgical Outcomes and Safety.
• Complications in Single-Incision Laparoscopic Surgery.
• NOTES: Common Complications and Management.

• PART V - ORGANIZATIONS PROMOTING SAFETY & QUALITY.
• Quality and Safety in American College of Surgeons.
• Institute of Medicine Crossing the Quality Chasm.
• Using Patient Safety Indicators as Benchmarks.
• Institute for Healthcare Improvement-Best Practices.
• SAGES History & Commitment To Education and Safety.

• PART VI - PROFESSIONAL EDUCATION.
• Standardizing Surgical Education: Implications for Quality of Care.
• Training Standards/Fellowship Council.
• Accreditation Standards: Bariatric Surgery and Beyond.

• PART VII - SAFER SURGERY THROUGH SIMULATION AND TEAMWORK.
• Team Training.
• Training to Proficiency.
• FLS.
• FES.
• Simulation and OR Team Performance.
• Debriefing after Simulation.
• Using Simulation for Disclosure of Bad News.
• Teleproctoring in Surgery.

• PART VIII - MEDICAL-LEGAL CONSIDERATIONS.
• Informed Consent.
• Enterprise Risk Management.
• Surgical Devices: Equipment malfunction, FDA reporting, Off-label use.
• Video recording: Responsibility and Liability.
• Limiting Medical Malpractice Exposure and Claims.
• The Expert Witness and Tort Reform.

• PART VIIIII – CONCLUSIONS.
• Conclusion: Culture of Safety and Era of Better Practices.