How do we PI? Results of an EAST quality, patient safety, and outcomes survey
Background Quality improvement is a cornerstone for any verified trauma center. Conducting effective quality and performance improvement, however, remains a challenge. In this study, we sought to better explore the landscape and challenges facing the members of the Eastern Association for the Surger...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2023-11-01
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| Series: | Trauma Surgery & Acute Care Open |
| Online Access: | https://tsaco.bmj.com/content/8/1/e001059.full |
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| author | Marko Bukur Ryan Peter Dumas Daniel R Margulies Carlos H Palacio Daniel Horwitz Kyle Cunningham Christine Eme |
| author_facet | Marko Bukur Ryan Peter Dumas Daniel R Margulies Carlos H Palacio Daniel Horwitz Kyle Cunningham Christine Eme |
| author_sort | Marko Bukur |
| collection | DOAJ |
| description | Background Quality improvement is a cornerstone for any verified trauma center. Conducting effective quality and performance improvement, however, remains a challenge. In this study, we sought to better explore the landscape and challenges facing the members of the Eastern Association for the Surgery of Trauma (EAST) through a survey.Methods A survey was designed by the EAST Quality Patient Safety and Outcomes Committee. It was reviewed by the EAST Research and Scholarship Committee and then distributed to 2511 EAST members. The questions were designed to understand the frequency, content, and perceptions surrounding quality improvement processes.Results There were 151 respondents of the 2511 surveys sent (6.0%). The majority were trauma faculty (55%) or trauma medical directors (TMDs) (37%) at American College of Surgeons level I (62%) or II (17%) trauma centers. We found a wide variety of resources being used across hospitals with the majority of cases being identified by a TMD or attending (81%) for a multidisciplinary peer review (70.2%). There was a statistically significant difference in the perception of the effectiveness of the quality improvement process with TMDs being more likely to describe their process as moderately or very effective compared with their peers (77.5% vs. 57.7%, p=0.026). The ‘Just Culture’ model appeared to have a positive effect on the process improvement environment, with providers less likely to report a non-conducive environment (10.9% vs. 27.6%, p=0.012) and less feelings of assigning blame (3.1% vs. 13.8%, p=0.026).Conclusion Case review remains an essential but challenging process. Our survey reveals a need to continue to advocate for appropriate time and resources to conduct strong quality improvement processes.Level of evidence Epidemiological study, level III. |
| format | Article |
| id | doaj-art-d14615d8684b4ea48d1e1b51a3dfd68a |
| institution | OA Journals |
| issn | 2397-5776 |
| language | English |
| publishDate | 2023-11-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | Trauma Surgery & Acute Care Open |
| spelling | doaj-art-d14615d8684b4ea48d1e1b51a3dfd68a2025-08-20T02:10:07ZengBMJ Publishing GroupTrauma Surgery & Acute Care Open2397-57762023-11-018110.1136/tsaco-2022-001059How do we PI? Results of an EAST quality, patient safety, and outcomes surveyMarko Bukur0Ryan Peter Dumas1Daniel R Margulies2Carlos H Palacio3Daniel Horwitz4Kyle Cunningham5Christine Eme6Department of Surgery, NYU Langone School of Medicine, Bellevue Hospital Center, New York, New York, USAUT Southwestern Medical, Dallas, Texas, USADepartment of Surgery, Cedars-Sinai Medical Center, Los Angeles, California, USASouth Texas Health System, Edinburg, Texas, USADepartment of Surgery, NYU Langone Health, New York, New York, USADepartment of Surgery, Atrium Health, Charlotte, North Carolina, USAEastern Association for the Surgery of Trauma, Chicago, Illinois, USABackground Quality improvement is a cornerstone for any verified trauma center. Conducting effective quality and performance improvement, however, remains a challenge. In this study, we sought to better explore the landscape and challenges facing the members of the Eastern Association for the Surgery of Trauma (EAST) through a survey.Methods A survey was designed by the EAST Quality Patient Safety and Outcomes Committee. It was reviewed by the EAST Research and Scholarship Committee and then distributed to 2511 EAST members. The questions were designed to understand the frequency, content, and perceptions surrounding quality improvement processes.Results There were 151 respondents of the 2511 surveys sent (6.0%). The majority were trauma faculty (55%) or trauma medical directors (TMDs) (37%) at American College of Surgeons level I (62%) or II (17%) trauma centers. We found a wide variety of resources being used across hospitals with the majority of cases being identified by a TMD or attending (81%) for a multidisciplinary peer review (70.2%). There was a statistically significant difference in the perception of the effectiveness of the quality improvement process with TMDs being more likely to describe their process as moderately or very effective compared with their peers (77.5% vs. 57.7%, p=0.026). The ‘Just Culture’ model appeared to have a positive effect on the process improvement environment, with providers less likely to report a non-conducive environment (10.9% vs. 27.6%, p=0.012) and less feelings of assigning blame (3.1% vs. 13.8%, p=0.026).Conclusion Case review remains an essential but challenging process. Our survey reveals a need to continue to advocate for appropriate time and resources to conduct strong quality improvement processes.Level of evidence Epidemiological study, level III.https://tsaco.bmj.com/content/8/1/e001059.full |
| spellingShingle | Marko Bukur Ryan Peter Dumas Daniel R Margulies Carlos H Palacio Daniel Horwitz Kyle Cunningham Christine Eme How do we PI? Results of an EAST quality, patient safety, and outcomes survey Trauma Surgery & Acute Care Open |
| title | How do we PI? Results of an EAST quality, patient safety, and outcomes survey |
| title_full | How do we PI? Results of an EAST quality, patient safety, and outcomes survey |
| title_fullStr | How do we PI? Results of an EAST quality, patient safety, and outcomes survey |
| title_full_unstemmed | How do we PI? Results of an EAST quality, patient safety, and outcomes survey |
| title_short | How do we PI? Results of an EAST quality, patient safety, and outcomes survey |
| title_sort | how do we pi results of an east quality patient safety and outcomes survey |
| url | https://tsaco.bmj.com/content/8/1/e001059.full |
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