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Quality, Safety, and Value in Pediatric Spine Surgery
Bayard C Carlson1, Todd A Milbrandt1, A Noelle Larson1
1Department of Orthopedic Surgery, Mayo Clinic Rochester, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA.
The Orthopedic Clinics of North America
|September 19, 2018
Summary
This article discusses patient safety in spine surgery, covering infection, radiation, and instrumentation. Implementing quality improvement strategies can enhance patient outcomes and foster a culture of shared learning.
Area of Science:
- Neurosurgery
- Orthopedic Surgery
- Patient Safety
Background:
- Patient safety in spine surgery is paramount.
- Key concerns include infection, length of stay, and instrumentation complications.
- Minimizing risks like pedicle screw malposition and neurologic events is critical.
Purpose of the Study:
- To review critical patient safety topics in spine surgery.
- To highlight the practical application of quality, safety, and value concepts.
- To promote a culture of open information sharing for patient benefit.
Main Methods:
- Literature review of patient safety in spine surgery.
- Discussion of quality improvement principles.
- Analysis of practical implementation strategies.
Main Results:
- Identified key safety areas: infection, LOS, instrumentation, malposition, radiation, neurologic events.
- Quality, safety, and value are practical and scalable concepts.
- A culture shift towards open sharing of protocols enhances patient care.
Conclusions:
- Implementing quality improvement initiatives is essential for spine surgery safety.
- Open communication and shared strategies accelerate patient benefit.
- Focusing on quality, safety, and value improves surgical practice.
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