A Checklist-Based intervention to improve surgical outcomes in Michigan evaluation of the keystone surgery program

JAMA Surgery

Volumn 150, Issue 3, 2015, Pages 208-215

  Reames, Bradley N ^a   Krell, Robert W ^a   Campbell, Darrell A ^a   Dimick, Justin B ^a,b  

^a UNIVERSITY OF MICHIGAN   (United States)

^b JAMA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; APPENDECTOMY; ARTICLE; BARIATRIC SURGERY; CHECKLIST; CHOLECYSTECTOMY; COHORT ANALYSIS; COLORECTAL SURGERY; CONTROLLED STUDY; GENERAL SURGERY; HEALTH PROGRAM; HERNIOPLASTY; HUMAN; KEYSTONE SURGERY PROGRAM; LONGITUDINAL STUDY; MAJOR CLINICAL STUDY; MORTALITY; PRIORITY JOURNAL; RETROSPECTIVE STUDY; SENSITIVITY ANALYSIS; SURGICAL INFECTION; TOTAL QUALITY MANAGEMENT; TREATMENT OUTCOME; UNITED STATES; WOUND COMPLICATION; AGED; FEMALE; MALE; MICHIGAN; MIDDLE AGED; OUTCOME ASSESSMENT; POSTOPERATIVE COMPLICATIONS; PROGRAM EVALUATION; REGISTER;

ADULT; AGED; CHECKLIST; FEMALE; HUMANS; LONGITUDINAL STUDIES; MALE; MICHIGAN; MIDDLE AGED; OUTCOME ASSESSMENT (HEALTH CARE); POSTOPERATIVE COMPLICATIONS; PROGRAM EVALUATION; QUALITY IMPROVEMENT; REGISTRIES; RETROSPECTIVE STUDIES;

EID: 84924957973     PISSN: 21686254     EISSN: 21686262     Source Type: Journal    
DOI: 10.1001/jamasurg.2014.2873     Document Type: Article

References (43)

1. Hales BM, Pronovost PJ. The checklist-a tool for error management and performance improvement. J Crit Care. 2006;21(3):231-235.
2. Haynes AB,Weiser TG, Berry WR, et al; Safe Surgery Saves Lives Study Group. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med. 2009;360(5): 491-499.
3. Gawande A. The checklist: if something so simple can transform intensive care, what else can it do? The New Yorker. December 10, 2007:86-95.
4. Neily J, Mills PD, Young-Xu Y, et al. Association between implementation of a medical team training program and surgical mortality. JAMA. 2010;304 (15):1693-1700.
5. Sexton JB, Berenholtz SM, Goeschel CA, et al. Assessing and improving safety climate in a large cohort of intensive care units. Crit Care Med. 2011; 39(5):934-939.
6. Pronovost P, Needham D, Berenholtz S, et al. An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med. 2006;355(26):2725-2732.
7. Berenholtz SM, Pham JC, Thompson DA, et al. Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive care unit. Infect Control Hosp Epidemiol. 2011;32(4):305-314.
8. Agency for Healthcare Research and Quality. Ending health care-associated infections. http://www.ahrq.gov/research/findings/factsheets/errors-safety/haicusp/index.html. Published October 2010. Accessed August 20, 2013.
9. MHA Keystone Center. MHA Keystone: surgery. http://www.mhakeystonecenter.org/collaboratives/surgery.htm. Accessed March 28,2014.
10. Urbach DR, Govindarajan A, Saskin R,Wilton AS, Baxter NN. Introduction of surgical safety checklists in Ontario, Canada. N Engl J Med. 2014; 370(11):1029-1038.
11. Hedrick TL, Heckman JA, Smith RL, Sawyer RG, Friel CM, Foley EF. Efficacy of protocol implementation on incidence of wound infection in colorectal operations. J AmColl Surg. 2007;205 (3):432-438.
12. Forbes SS, StephenWJ, Harper WL, et al. Implementation of evidence-based practices for surgical site infection prophylaxis: results of a preand postintervention study. J AmColl Surg. 2008; 207(3):336-341.
13. Anthony T, Murray BW, Sum-Ping JT, et al. Evaluating an evidence-based bundle for preventing surgical site infection: a randomized trial. Arch Surg. 2011;146(3):263-269.
14. Crolla RM, van der Laan L, Veen EJ, Hendriks Y, van Schendel C, Kluytmans J. Reduction of surgical site infections after implementation of a bundle of care. PLoS One. 2012;7(9):e44599.
15. Cima R, Dankbar E, Lovely J, et al; Colorectal Surgical Site Infection Reduction Team. Colorectal surgery surgical site infection reduction program: a national surgical quality improvement program-driven multidisciplinary single-institution experience. J AmColl Surg. 2013;216(1):23-33.
16. Bergs J, Hellings J, Cleemput I, et al. Systematic review and meta-analysis of the effect of the World Health Organization surgical safety checklist on postoperative complications. Br J Surg. 2014;101(3): 150-158.
17. Ingraham AM, Cohen ME, Bilimoria KY, et al. Association of surgical care improvement project infection-related process measure compliance with risk-adjusted outcomes: implications for quality measurement. J AmColl Surg. 2010;211(6):705-714.
18. HawnMT, Vick CC, Richman J, et al. Surgical site infection prevention: time tomove beyond the Surgical Care Improvement Program. Ann Surg. 2011;254(3):494-499.
19. EnglesbeMJ, Dimick JB, Sonnenday CJ, Share DA, Campbell DA Jr. TheMichigan Surgical Quality Collaborative: will a statewide quality improvement initiative pay for itself? Ann Surg. 2007;246(6):1100-1103.
20. Campbell DA Jr, Englesbe MJ, Kubus JJ, et al. Accelerating the pace of surgical quality improvement: the power of hospital collaboration. Arch Surg. 2010;145(10):985-991.
21. Khuri SF, HendersonWG, Daley J, et al; Principal Site Investigators of the Patient Safety in Surgery Study. The Patient Safety in Surgery Study: background, study design, and patient populations. J AmColl Surg. 2007;204(6):1089-1102
22. Brown CA, Lilford RJ. The stepped wedge trial design: a systematic review. BMC Med ResMethodol. 2006;6:54.
23. Pronovost PJ, Berenholtz SM, Needham DM. Translating evidence into practice: a model for large scale knowledge translation. BMJ. 2008;337:a1714.
24. Timmel J, Kent PS, Holzmueller CG, Paine L, Schulick RD, Pronovost PJ. Impact of the Comprehensive Unit-based Safety Program (CUSP) on safety culture in a surgical inpatient unit. Jt Comm J Qual Patient Saf. 2010;36(6):252-260.
25. Bratzler DW, Hunt DR. The Surgical Infection Prevention and Surgical Care Improvement Projects: national initiatives to improve outcomes for patients having surgery. Clin Infect Dis. 2006;43 (3):322-330.
26. Clancy CM. SCIP: making complications of surgery the exception rather than the rule. AORN J. 2008;87(3):621-624.
27. Stulberg JJ, Delaney CP, Neuhauser DV, Aron DC, Fu P, Koroukian SM. Adherence to Surgical Care Improvement Project measures and the association with postoperative infections. JAMA. 2010;303(24):2479-2485.
28. Centers for Medicare & Medicaid Services. Details for title: Medicare acute care episode (ACE) demonstration. http://www.cms.gov/Medicare/Demonstration-Projects/DemoProjectsEvalRpts/Medicare-Demonstrations-Items/CMS1204388.html?DLPage=1&DLSort=2&DLSortDir=descending. Accessed November 14, 2013.
29. Berenholtz SM, Schumacher K, Hayanga AJ, et al. Implementing standardized operating room briefings and debriefings at a large regional medical center. Jt Comm J Qual Patient Saf. 2009;35(8): 391-397.
30. Bandari J, Schumacher K, Simon M, et al. Surfacing safety hazards using standardized operating room briefings and debriefings at a large regional medical center. Jt Comm J Qual Patient Saf. 2012;38(4):154-160.
31. Sexton JB, Helmreich RL, Neilands TB, et al. The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and emerging research. BMC Health Serv Res. 2006;6:44.
32. Wooldridge JM. Introductory Econometrics: A Modern Approach. 4th ed. Mason, OH:South-Western Cengage Learning; 2009.
33. Colla CH, Wennberg DE, Meara E, et al. Spending differences associated with the Medicare Physician Group Practice Demonstration. JAMA. 2012;308(10):1015-1023.
34. Dimick JB, Nicholas LH, Ryan AM, Thumma JR, Birkmeyer JD. Bariatric surgery complications before vs after implementation of a national policy restricting coverage to centers of excellence. JAMA. 2013;309(8):792-799.
35. Donald SG, Lang K. Inference with difference-in-differences and other panel data. Rev Econ Stat. 2007;89(2):221-233. doi:10.1162/rest.89.2.221.
36. Ryan AM. Effects of the Premier Hospital Quality Incentive Demonstration on Medicare patient mortality and cost. Health Serv Res. 2009;44(3):821-842.
37. Benning A, Ghaleb M, Suokas A, et al. Large scale organisational intervention to improve patient safety in four UK hospitals:mixed method evaluation. BMJ. 2011;342:d195.
38. Michigan Surgical Quality Collaborative. Member hospitals. http://www.msqc.org/membership-hospitals.php. Accessed December 1, 2013.
39. Pastor C, Artinyan A, Varma MG, Kim E, Gibbs L, Garcia-Aguilar J. An increase in compliance with the Surgical Care Improvement Project measures does not prevent surgical site infection in colorectal surgery. Dis Colon Rectum. 2010;53(1): 24-30.
40. Helfrich CD, Damschroder LJ, Hagedorn HJ, et al. A critical synthesis of literature on the Promoting Action on Research Implementation in Health Services (PARIHS) framework. Implement Sci. 2010;5:82.
41. Share DA, Campbell DA, Birkmeyer N, et al. How a regional collaborative of hospitals and physicians in Michigan cut costs and improved the quality of care. Health Aff (Millwood). 2011;30(4): 636-645.
42. Wick EC, Hobson DB, Bennett JL, et al. Implementation of a surgical comprehensive unit-based safety program to reduce surgical site infections. J AmColl Surg. 2012;215(2):193-200.
43. Curran GM, Bauer M, Mittman B, Pyne JM, Stetler C. Effectiveness-implementation hybrid designs: combining elements of clinical effectiveness and implementation research to enhance public health impact. Med Care. 2012;50 (3):217-226.