Can a Quality Collaborative Build Value in Global Surgery? Results From a Single State Experience.
Connecticut Medicine
|October 29, 2015
Summary
A significant number of Connecticut surgeons engage in global surgery initiatives. However, consistent measurement of surgical outcomes in these programs remains a challenge, highlighting a need for quality improvement collaboratives.
Area of Science:
- Global Health
- Surgical Education
- Health Services Research
Background:
- Global surgery is vital to worldwide healthcare.
- Limited data exists on the extent of global surgery involvement among surgeons in Connecticut.
- This pilot study aimed to assess the scope of global surgery experience within the state.
Purpose of the Study:
- To determine the participation rates of surgeons in Connecticut in global surgery.
- To understand the nature and frequency of global surgery experiences.
- To identify barriers and facilitators for improving surgical care quality in global settings.
Main Methods:
- An electronic survey was disseminated to surgeons and surgical residents in Connecticut.
- Distribution channels included the Connecticut Chapter of the American College of Surgeons (CTACS) and state surgical departments.
- Data was collected from surgeons across 17 hospitals.
Main Results:
- Out of 74 respondents, 19 (25.7%) reported global surgery experience, primarily short-term and yearly.
- Over half (52.9%) lacked formal outcome records for their global surgery work.
- A large majority (89.5%) recognized the benefit of outcomes measures and expressed willingness to join a quality database.
Conclusions:
- A considerable percentage of Connecticut surgeons are involved in global surgery.
- Despite valuing surgical quality, routine outcome measurement is lacking.
- Developing a quality improvement collaborative could bridge the gap in measuring and enhancing global surgical care.
Related Concept Videos
01:21Inflammatory Bowel Disease V: Surgical Management
843
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
843
01:29Chronic Pancreatitis II: Collaborative Care
490
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
490
01:25Urinary Tract Calculi VI: Surgical Management
825
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
825
01:25Peptic Ulcer Disease V: Surgical Management and Nursing Care
1.1K
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
1.1K
01:26Aneurysm III: Interprofessional Care
449
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
449