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The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
Published on: February 19, 2021
Enabling front line-driven perioperative quality improvement through organizational infrastructure built around the
Husein Moloo1, Rebecca Brooke1, Sudhir Sundaresan1
1From the Department of Surgery, University of Ottawa, Ottawa, Ont. (Moloo, Brooke, Sundaresan, Skinner, Berg, Doering, Worthington, Forster, Schramm); and the Ottawa Hospital Research Institute, Ottawa, Ont. (Moloo, Schramm).
Front-line involvement is key for successful quality improvement (QI) in surgical departments. Building a supportive infrastructure and multidisciplinary teams are essential for sustainable cultural change and improved outcomes.
Area of Science:
- Surgical Quality Improvement
- Healthcare Management
- Organizational Culture
Background:
- Surgical departments increasingly focus on quality improvement (QI).
- Sustainable QI success relies on fostering a positive organizational culture.
- A supportive infrastructure is vital for implementing QI initiatives.
Purpose of the Study:
- To describe the process of creating a QI infrastructure in a surgical department.
- To highlight the role of multidisciplinary teams in driving change.
- To showcase improvements in processes and outcomes resulting from QI efforts.
Main Methods:
- Development of a dedicated QI infrastructure.
- Establishment of multidisciplinary teams for change management.
- Implementation of specific QI strategies within the surgical department.
Main Results:
- Successful creation of a supportive QI infrastructure.
- Active engagement of multidisciplinary teams in quality initiatives.
- Demonstrable improvements in surgical processes and patient outcomes.
Conclusions:
- Front-line staff involvement is critical for a successful QI culture in surgery.
- An effective QI infrastructure and empowered teams are essential for sustainable improvements.
- The described approach provides a model for enhancing quality in surgical departments.
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