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Published on: October 17, 2017
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Quality improvement in neurosurgery: A systematic review
Mohamed M Madan1, Ahmed M Alshereiqi2, Noor M Abdulla1
1College of Medicine and Health Sciences, National University of Science and Technology, Sohar 329, Sultanate of Oman.
Medicine International
|March 17, 2025
Summary
This systematic review highlights that quality improvement (QI) in neurosurgery primarily focuses on adult spinal cases, utilizing protocols and ERAS. Further research is needed for cranial surgery QI and advanced methods.
Area of Science:
- Neurosurgery
- Quality Improvement
- Patient Safety
Background:
- Quality improvement (QI) is essential for enhancing patient care and safety in surgical practices.
- A systematic review on QI in neurosurgery is currently lacking.
- Existing QI research often focuses on specific surgical subspecialties.
Purpose of the Study:
- To explore existing QI frameworks, interventions, and outcome measures in neurosurgery.
- To identify trends and gaps in QI research within neurosurgical fields.
- To inform future QI initiatives and research directions in neurosurgery.
Main Methods:
- A systematic review of 75 articles was conducted using keywords like 'Quality', 'Improvement', 'Neurosurgical' across multiple databases.
- Articles were assessed based on inclusion and exclusion criteria without time limitations.
- Data on neurosurgical fields, patient distribution, and QI interventions were analyzed.
Main Results:
- QI studies were unevenly distributed: adult neurosurgery (70.5%), spine surgery (22.5%), pediatric neurosurgery (4%), and neuro-oncology (3%).
- Spine surgery accounted for the majority of patients (87.07%) in QI initiatives.
- Common QI interventions included new protocols, Enhanced Recovery After Surgery (ERAS), data analysis, and checklists, with limited focus on new technology or staff education.
Conclusions:
- Current QI efforts in neurosurgery predominantly target adult spinal procedures, employing established methods.
- There is a need for increased focus on QI in cranial neurosurgery and exploration of novel interventions like new technologies and predictive models.
- Further research should evaluate the effectiveness of underrepresented QI strategies to comprehensively improve neurosurgical patient care and efficiency.
