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Quality and Safety Improvement in Spine Surgery
Fan Jiang1,2, Jamie R F Wilson1,2, Jetan H Badhiwala1,2
1Toronto Western Hospital, University Health Network, Toronto, Ontario, Canada.
Global Spine Journal
|January 15, 2020
Summary
Continuous improvement in spine surgery quality and safety is vital. While advancements exist, standardized reporting of outcomes and adverse events needs significant enhancement for better patient care.
Area of Science:
- Spine Surgery
- Healthcare Quality Improvement
- Patient Safety
Background:
- Quality and safety initiatives are crucial in spine surgery.
- Global spine community actively researches these improvements.
- Existing initiatives aim to enhance patient care and outcomes.
Purpose of the Study:
- To review advances and limitations in quality and safety improvement initiatives in spine surgery.
- To synthesize current literature on best practices and challenges.
- To identify areas for future development in spine care.
Main Methods:
- A narrative literature review was conducted.
- Ovid MEDLINE database was searched for relevant articles.
- Search focused on quality/safety, outcome/adverse event reporting, and prediction models/guidelines.
Main Results:
- Multiple databases and registries support quality and safety monitoring.
- Prediction models and clinical guidelines are shaping spine patient care.
- Heterogeneous reporting metrics for outcomes and adverse events persist despite progress.
Conclusions:
- Continuous surveillance and improvement of spine treatment quality and safety are imperative.
- Significant advancements have been made in spine surgery quality.
- Standardized reporting of outcomes and adverse events requires further improvement.
