Designing and integrating a quality management program for patients undergoing head and neck resection with free-flap reconstruction
Abstract Background Care pathways (CPs) offer a proven method of systematically improving patient care. CPs are particularly helpful in complex clinical conditions where variation in care is a problem such as patients undergoing major head and neck resection with free flap reconstruction. Although C...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2020-06-01
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| Series: | Journal of Otolaryngology - Head and Neck Surgery |
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| Online Access: | http://link.springer.com/article/10.1186/s40463-020-00436-3 |
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| author | Joseph C. Dort Khara M. Sauro Christiaan Schrag Shamir Chandarana Jennifer Matthews Steven Nakoneshny Vida Manoloto Tanya Miller C. David McKenzie Robert D. Hart T. Wayne Matthews |
| author_facet | Joseph C. Dort Khara M. Sauro Christiaan Schrag Shamir Chandarana Jennifer Matthews Steven Nakoneshny Vida Manoloto Tanya Miller C. David McKenzie Robert D. Hart T. Wayne Matthews |
| author_sort | Joseph C. Dort |
| collection | DOAJ |
| description | Abstract Background Care pathways (CPs) offer a proven method of systematically improving patient care. CPs are particularly helpful in complex clinical conditions where variation in care is a problem such as patients undergoing major head and neck resection with free flap reconstruction. Although CPs have been used to manage this patient group, most CPs are implemented as part of relatively short-term quality improvement projects. This paper outlines a detailed methodology for designing and delivering a quality management program sustained for 9 years. Methods We describe a change management approach informed by Kotter’s “8 Step Process” that provided a useful framework to guide program development and implementation. We then provide a detailed, step by step description of how such a program can be implemented as well as a detailed summary of time and costs for design, implementation and sustainability phases. An approach to design and delivery of a measurement, audit and feedback system is also provided. Results We present a summary of resources needed to design and implement a head and neck surgery quality management program. The primary result of this study is a design for a sustainable quality management program that can be used to guide and improve care for patients undergoing major head and neck resection with free flap reconstruction. Conclusions A change management approach to design and delivery of a head and neck quality management program is practical and feasible. |
| format | Article |
| id | doaj-art-55d8148779bc42baad1c4a3f6cd46400 |
| institution | OA Journals |
| issn | 1916-0216 |
| language | English |
| publishDate | 2020-06-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Otolaryngology - Head and Neck Surgery |
| spelling | doaj-art-55d8148779bc42baad1c4a3f6cd464002025-08-20T02:04:55ZengSAGE PublishingJournal of Otolaryngology - Head and Neck Surgery1916-02162020-06-014911910.1186/s40463-020-00436-3Designing and integrating a quality management program for patients undergoing head and neck resection with free-flap reconstructionJoseph C. Dort0Khara M. Sauro1Christiaan Schrag2Shamir Chandarana3Jennifer Matthews4Steven Nakoneshny5Vida Manoloto6Tanya Miller7C. David McKenzie8Robert D. Hart9T. Wayne Matthews10Section of Otolaryngology Head & Neck Surgery, Department of Surgery, University of Calgary Cumming School of MedicineOhlson Research Initiative, Arnie Charbonneau Research Institute, University of Calgary Cumming School of MedicineOhlson Research Initiative, Arnie Charbonneau Research Institute, University of Calgary Cumming School of MedicineSection of Otolaryngology Head & Neck Surgery, Department of Surgery, University of Calgary Cumming School of MedicineOhlson Research Initiative, Arnie Charbonneau Research Institute, University of Calgary Cumming School of MedicineOhlson Research Initiative, Arnie Charbonneau Research Institute, University of Calgary Cumming School of MedicineFoothills Medical Centre, Alberta Health ServicesFoothills Medical Centre, Alberta Health ServicesOhlson Research Initiative, Arnie Charbonneau Research Institute, University of Calgary Cumming School of MedicineSection of Otolaryngology Head & Neck Surgery, Department of Surgery, University of Calgary Cumming School of MedicineSection of Otolaryngology Head & Neck Surgery, Department of Surgery, University of Calgary Cumming School of MedicineAbstract Background Care pathways (CPs) offer a proven method of systematically improving patient care. CPs are particularly helpful in complex clinical conditions where variation in care is a problem such as patients undergoing major head and neck resection with free flap reconstruction. Although CPs have been used to manage this patient group, most CPs are implemented as part of relatively short-term quality improvement projects. This paper outlines a detailed methodology for designing and delivering a quality management program sustained for 9 years. Methods We describe a change management approach informed by Kotter’s “8 Step Process” that provided a useful framework to guide program development and implementation. We then provide a detailed, step by step description of how such a program can be implemented as well as a detailed summary of time and costs for design, implementation and sustainability phases. An approach to design and delivery of a measurement, audit and feedback system is also provided. Results We present a summary of resources needed to design and implement a head and neck surgery quality management program. The primary result of this study is a design for a sustainable quality management program that can be used to guide and improve care for patients undergoing major head and neck resection with free flap reconstruction. Conclusions A change management approach to design and delivery of a head and neck quality management program is practical and feasible.http://link.springer.com/article/10.1186/s40463-020-00436-3Head and neck cancerCare pathwaysClinical pathwaysHead and neck surgeryClinical outcomes improvementQuality improvement |
| spellingShingle | Joseph C. Dort Khara M. Sauro Christiaan Schrag Shamir Chandarana Jennifer Matthews Steven Nakoneshny Vida Manoloto Tanya Miller C. David McKenzie Robert D. Hart T. Wayne Matthews Designing and integrating a quality management program for patients undergoing head and neck resection with free-flap reconstruction Journal of Otolaryngology - Head and Neck Surgery Head and neck cancer Care pathways Clinical pathways Head and neck surgery Clinical outcomes improvement Quality improvement |
| title | Designing and integrating a quality management program for patients undergoing head and neck resection with free-flap reconstruction |
| title_full | Designing and integrating a quality management program for patients undergoing head and neck resection with free-flap reconstruction |
| title_fullStr | Designing and integrating a quality management program for patients undergoing head and neck resection with free-flap reconstruction |
| title_full_unstemmed | Designing and integrating a quality management program for patients undergoing head and neck resection with free-flap reconstruction |
| title_short | Designing and integrating a quality management program for patients undergoing head and neck resection with free-flap reconstruction |
| title_sort | designing and integrating a quality management program for patients undergoing head and neck resection with free flap reconstruction |
| topic | Head and neck cancer Care pathways Clinical pathways Head and neck surgery Clinical outcomes improvement Quality improvement |
| url | http://link.springer.com/article/10.1186/s40463-020-00436-3 |
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