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Related Experiment Video

Updated: Dec 25, 2025

The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
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Establishing best practices for structured NSQIP review.

Aaron J Cunningham1, Brian Howell2, Stephanie Polites3

  • 1Department of Surgery, Oregon Health & Science University, Portland, OR, USA.

American Journal of Surgery
|April 3, 2020
PubMed
Summary

An institutional program for surgical outcomes review improved adverse event (AE) monitoring and surgeon awareness. This Interval NSQIP Review (INR) process reduced the time to surgeon recognition of AEs by 223 days.

Keywords:
Adverse eventsNSQIPQuality improvement

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Area of Science:

  • Surgical Quality Improvement
  • Patient Safety
  • Healthcare Analytics

Background:

  • The National Surgical Quality Improvement Program (NSQIP) provides valuable data on surgical outcomes.
  • Augmenting NSQIP utility requires efficient and accurate adverse event (AE) monitoring.
  • Improving surgeon awareness of AEs is crucial for enhancing patient care.

Purpose of the Study:

  • To describe an institutional program designed to enhance NSQIP utility.
  • To implement real-time adverse event monitoring and improve surgeon awareness.
  • To create a structured, multidisciplinary review process for surgical outcomes.

Main Methods:

  • Established a monthly Interval NSQIP Review (INR) meeting involving quality analysts, surgeons, and nursing leadership.
  • Validated AEs against NSQIP criteria, reviewed data in real-time, and conducted in-depth case analyses.
  • Distributed monthly reports to surgeons detailing AE rates and case-specific information.

Main Results:

  • 377 out of 3,026 AEs underwent in-depth review.
  • 1.2% of AEs were found inconsistent with NSQIP definitions after INR.
  • Time from AE occurrence to surgeon review decreased significantly by 223 days (p=0.006).

Conclusions:

  • Structured institutional review of AEs enhances NSQIP data transparency and confidence.
  • The INR process reduces the time to surgeon recognition of AEs.
  • This adaptable approach can improve stakeholder understanding of AE definitions and potentially patient outcomes.