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1.
BMJ Open Qual ; 12(4)2023 11.
Article in English | MEDLINE | ID: mdl-37967995

ABSTRACT

Precise wound classification is essential for surgical site infection risk stratification and appropriate hospital reimbursement. We instituted a multifaceted approach to improve institutional wound class identification including an education and awareness bundle, as well as a formal audit process. Overall, we saw significant improvements in wound class accuracy, interprofessional collaboration and provider compliance.


Subject(s)
Surgical Wound , Humans , Quality Improvement , Surgical Wound Infection/prevention & control
2.
Am J Surg ; 211(1): 46-52, 2016 Jan.
Article in English | MEDLINE | ID: mdl-26601650

ABSTRACT

BACKGROUND: We hypothesized that mandatory multidisciplinary team (MDT) participation improves process evaluation, outcomes, and technical aspects of surgery for rectal cancer in a stable practice of colorectal surgery. METHODS: A retrospective review of MDT data was conducted of all patients with colorectal cancer since 2010. Demographic, clinical stage, process evaluation, quality of surgery, and outcome data were collected. Total mesorectal excision and MDT required participation started 2013. RESULTS: One hundred thirty patients were included in this study: 47 patients in 2014; 41 patients in 2013; and 42 patients pre-MDT. Improvements were seen in 12 of the 14 preoperative process variables, 6 significantly. Improvement in the completeness of total mesorectal excision (0% to 76%) was significant. Local recurrence occurred in 10% of the pre-MDT group, and follow-up is ongoing in the MDT groups. CONCLUSIONS: MDT participation improves care of patients with rectal cancer. Preoperative clinical staging, multimodality treatment, pathologic staging, and technical aspects of surgery have improved.


Subject(s)
Patient Care Team/organization & administration , Rectal Neoplasms/surgery , Rectum/surgery , Standard of Care , Adult , Aged , Female , Follow-Up Studies , Health Resources/statistics & numerical data , Humans , Male , Middle Aged , Outcome and Process Assessment, Health Care , Retrospective Studies , Texas
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