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Advances in perioperative quality and safety
Kathryn T Anderson1, Rachel Appelbaum2, Marisa A Bartz-Kurycki1
1Center for Surgical Trials and Evidence-based Practice, Division of General and Thoracic Surgery, Department of Pediatric Surgery, McGovern Medical School at The University of Texas Health Science Center at Houston, Houston, TX, USA.
Safe surgery has evolved beyond technique to include evidence-based practices and communication. Key advances like the National Surgical Quality Improvement Program and Surgical Safety Checklist improve patient outcomes.
Area of Science:
- Surgical Quality and Patient Safety
Background:
- Historically, surgical safety centered on intraoperative technique and surgeon authority.
- Despite advancements, suboptimal patient care and complications persisted.
- A paradigm shift recognizes the need for evidence-based decisions, complication prevention, and enhanced communication.
Purpose of the Study:
- To highlight three transformative advances in surgical quality and safety.
- To underscore the evolution of surgical care towards comprehensive patient safety.
Main Methods:
- Review of the impact of the National Surgical Quality Improvement Program (NSQIP).
- Analysis of evidence-based bundled interventions for surgical site infection (SSI) prevention.
- Evaluation of the implementation and effectiveness of the Surgical Safety Checklist.
Main Results:
- The National Surgical Quality Improvement Program provides robust data for quality assessment.
- Bundled strategies significantly reduce surgical site infections.
- The Surgical Safety Checklist improves communication and adherence to safety protocols.
Conclusions:
- Modern surgical care integrates quality improvement programs, infection prevention bundles, and safety checklists.
- These advances collectively enhance patient safety and surgical outcomes.
- A multidisciplinary, evidence-based approach is crucial for effective and safe surgery.
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Overview of Advanced Functional Groups
Functional groups are groups of atoms with specific chemical properties that occur within organic molecules and are sometimes denoted as “R”. Functional groups can “functionalize” a compound by enabling it to adopt different physical and chemical properties.
Types of Advanced Functional Groups
The table below summarizes some of the major functional groups in organic chemistry.

