Quality and Safety in Neurosurgerycovers recent improvements and presents solutions for problems that impact patient care. This book is written for anyone who works at the intersection of quality, safety and neurosurgery, including neurosurgeons, neurologists, clinical researchers looking to improve outcomes in neurosurgery, hospital quality and safety officers, department leaders, fellows and residents.
Edited by neurosurgeons who helped build the culture of quality and safety in the Department of Neurosurgery at UMN, this work emphasizes quality and safety, whether through `value based purchasing', finding specialty specific quality and safety metrics, or just the professional desire to provide quality care.
Table of ContentsSection I. The Importance of Quality and Safety in Neurosurgery
- 1. The many perspectives of quality and safety in neurosurgery
- 2. History and future of organized neurosurgery in quality and safety
- 3. Clinical research in quality improvement: Complimentary approaches to improving neurosurgical practice
Section II. Measuring and Improving Performance
- 4. On developing the tools and metrics for a neurosurgical quality program
- 5. The role of clinical registries in health care
- 6. Measuring value of healthcare: The importance and challenges of measuring true cost
- 7. Teams, competence and safety in surgery
- 8. Evidenced-based practice of neurosurgery: Implications for quality and safety
- 9. The physician handoff and its role in quality and safety
Section III. The Practice of Quality and Safety in Neurosurgery
- 10. Improving operating room safety
- 11. Using multi-center clinical registries to improve outcomes
- 12. Improving efficiency and mapping surgical procedures using lean methods
- 13. Quality efforts for reducing mortality in neurosurgery
- 14. Reducing readmissions
- 15. Improving outcomes: Big data and predictive analytics
- 16. Improving performance by improving education
- 17. Improving outcomes with subspecialization and regionalization
- 18. Quality of care and outcomes in pediatric neurosurgery: Incorporating evidence-based practice
- 19. Eliminating unnecessary diagnostic imaging and labs
- 20. Creating national practice standards through collaboration
- 21. Use of risk model for assessment of resident perception of surgical complexity and evaluation of procedural competence
- 22. Use of physical education and nutrition program to improve outcomes
