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Updated: Apr 14, 2026
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Collecting And Measuring Wound Exudate Biochemical Mediators In Surgical Wounds
Published on: October 20, 2012
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Identifying quality markers and improvement measures for ward-based surgical care: a semistructured interview study
Philip H Pucher1, Rajesh Aggarwal2, Pritam Singh1
1Department of Surgery and Cancer, St. Mary's Hospital, Imperial College London, London, UK.
American Journal of Surgery
|April 22, 2015
Summary
Patients and staff report significant variation in surgical ward rounds (WRs), impacting patient care. Improving thoroughness and communication through interventions like simulation-based training is recommended for better outcomes.
Area of Science:
- Medical Education
- Surgical Quality Improvement
- Patient Safety
Background:
- Surgical ward rounds (WRs) are critical for postoperative care and patient outcomes.
- Current WR practices face challenges impacting quality.
- This study investigates issues within surgical WRs to identify improvement strategies.
Purpose of the Study:
- To explore key issues in surgical ward round practice.
- To define challenges in current surgical WRs.
- To identify methods for quality assessment and improvement of surgical WRs.
Main Methods:
- Qualitative, semistructured interviews were conducted.
- Participants included patients, nurses, interns, residents, and attendings.
- Data were collected from 25 subjects across 8 hospitals.
Main Results:
- 92% of subjects perceived significant variation in WR quality affecting patient care.
- Lack of thoroughness (72%) and poor communication (48%) were primary identified causes.
- Nontechnical skills, especially communication (100%), were deemed crucial; simulation-based training was recommended (52%).
Conclusions:
- Both clinical staff and patients recognize substantial variability in surgical WRs.
- Interventions are needed to standardize and enhance WRs.
- Improving WRs is essential for better patient care and outcomes.
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