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Site Reviewer Perspectives on Implementation of Commission on Cancer Operative Standards.

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Commission on Cancer (CoC) site reviewers view operative standards favorably for improving cancer surgery quality. Enhancing implementation requires leadership support and surgeon engagement, leveraging reviewers

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Area of Science:

  • Surgical Oncology
  • Healthcare Quality Improvement
  • Implementation Science

Background:

  • The Commission on Cancer (CoC) introduced six operative standards to standardize cancer surgery.
  • Accreditation involves site visits by trained reviewers to assess compliance.
  • Understanding reviewer perspectives is crucial for effective implementation.

Purpose of the Study:

  • To characterize Commission on Cancer (CoC) site reviewers' perspectives on implementing new operative standards.
  • To identify facilitators and barriers to compliance with cancer surgery standards.

Main Methods:

  • Conducted 20 semi-structured interviews with CoC site reviewers.
  • Utilized the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework.
  • Applied thematic analysis and mapped findings to the Consolidated Framework for Implementation Research (CFIR).

Main Results:

  • Reviewers see operative standards as a positive step for technical quality in cancer surgery.
  • Compliance is linked to leadership support, interdisciplinary communication, and resources.
  • Surgeon resistance emerged as a significant barrier to implementation.

Conclusions:

  • CoC site reviewers generally have a favorable view of the operative standards.
  • Focusing on leadership support and surgeon engagement can improve standard implementation.
  • Formalizing the supportive role of site reviewers can enhance compliance.