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A Canadian strategy for surgical quality improvement
David R. Urbach,1, Ahmer A. Karimuddin1, Alice Wei1
1From the University of Toronto, Toronto, Ont. (Urbach, Wei, McLeod); the University of British Columbia, Vancouver, BC (Karimuddin, Hameed); the University of Manitoba, Winnipeg, Man. (Zabolotny); the Canadian Medical Protective Association, Ottawa, Ont. (Lefebvre); Dalhousie University, Halifax, NS (Walsh); McGill University, Montreal, Que. (Fata, Chaudhury); and the Mayo Clinic, Rochester, Minn. (Cleary).
Summary:
The Canadian Association of General Surgeons (CAGS) Board of Directors hosted a symposium to develop a Canadian strategy for surgical quality and safety at its mid-term meeting on Feb. 24, 2018. The following 6 principles outline the consensus of this symposium, which included diverse stakeholders and surgeon leaders across Canada: 1) a Canadian quality-improvement strategy for surgery is needed; 2) quality improvement requires continuous, active and intentional effort; 3) outcome measurement alone will not drive improvement; 4) increased focus on standardization and process improvement is necessary; 5) new, large electronic medical record systems pose challenges as well as benefits in Canadian hospitals; and 6) surgeons in remote and rural hospitals must be engaged using tailored approaches.
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