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Related Experiment Videos

Routine Collection of Patient-Reported Outcomes in Thoracic Surgery: A Quality Improvement Study.

Brendan T Heiden1, Melanie P Subramanian1, Ruben G Nava1

  • 1Division of Cardiothoracic Surgery, Washington University in St. Louis School of Medicine, St Louis, Missouri.

The Annals of Thoracic Surgery
|July 5, 2021
PubMed
Summary

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This summary is machine-generated.

Collecting patient-reported outcomes in thoracic surgery is crucial. A quality improvement study successfully increased data collection rates by 72% using iterative testing and stakeholder engagement.

Area of Science:

  • Quality Improvement
  • Surgical Care
  • Patient-Reported Outcomes

Background:

  • Patient-reported outcomes (PROs) are vital for high-quality surgical care but rarely collected routinely.
  • This study aimed to enhance routine PRO collection in a thoracic surgery clinic.

Purpose of the Study:

  • To implement and assess a quality improvement initiative for routine PRO collection.
  • To improve the reliability and sustainability of PRO data capture in clinical practice.

Main Methods:

  • Prospective monitoring of thoracic surgery patients using the NIH-validated Patient-Reported Outcomes Measurement Information System (PROMIS).
  • Employed a Model for Improvement framework with iterative plan-do-study-act (PDSA) cycles.
  • Multidisciplinary stakeholder engagement to identify and address key drivers of PRO collection.

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Main Results:

  • Baseline PROMIS collection rate was 53% across 2315 patient visits.
  • Following interventions, adherence reached 91% of office visits within 7 months, a 72% relative improvement.
  • Sustained improvements were demonstrated via statistical process control charting.

Conclusions:

  • Reliable collection of PROs, such as PROMIS, is achievable in clinical settings.
  • This initiative required minimal additional hospital resources, highlighting the feasibility of integrating PROs into routine thoracic surgical care.