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Related Experiment Video

Updated: Jun 3, 2025

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
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Quality Improvement and Patient Safety Rounds-A New Paradigm in Cardiothoracic Surgery.

Joel Bierer1, Edgar Chedrawy1, Christine Herman1

  • 1Division of Cardiac Surgery, Department of Surgery, Dalhousie University, Halifax, Nova Scotia, Canada.

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PubMed
Summary

The Quality Improvement and Patient Safety (QIPS) program enhances cardiothoracic surgery care by standardizing adverse event analysis. This fosters transparency and identifies system issues for improved patient outcomes.

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Area of Science:

  • Cardiothoracic Surgery
  • Healthcare Quality Improvement
  • Patient Safety

Background:

  • Cardiothoracic healthcare delivery faces challenges with adverse patient outcomes.
  • Existing quality assessment is hindered by institutional heterogeneity and a punitive culture.
  • The Quality Improvement and Patient Safety (QIPS) program was developed to address these deficiencies.

Purpose of the Study:

  • To introduce and describe the Quality Improvement and Patient Safety (QIPS) program.
  • To highlight QIPS's focus on transparency and adverse event analysis in cardiothoracic surgery.
  • To present the dissemination of the QIPS methodology through webinars.

Main Methods:

  • The QIPS program utilizes the Donabedian model and phase-of-care adverse event analysis.
  • It emphasizes a transparent review process, collecting demographic data, event factors, and inflection points.
  • The QIPS methodology was presented in two Society of Thoracic Surgeons webinars.

Main Results:

  • The December 2021 webinar reached 75 unique viewers from 13 countries with 343 playbacks.
  • The August 2022 webinar had 38 unique viewers from 9 countries with 310 playbacks.
  • Webinar data indicates broad interest and reach for the QIPS program.

Conclusions:

  • Standardized QIPS methods enable consistent root cause analysis of morbidity and mortality.
  • The program facilitates the creation of a database to identify and address system issues.
  • QIPS promotes a reproducible, patient-centered culture of quality in cardiothoracic surgery.