Asunto(s)
Sedación Consciente/normas , Seguridad del Paciente , Periodo de Recuperación de la Anestesia , Anestesiología , Competencia Clínica/normas , Humanos , Monitoreo Intraoperatorio/normas , Monitoreo Fisiológico/normas , Nueva Gales del Sur , Enfermeras Anestesistas/educación , Medición de Riesgo/normas , Recursos HumanosRESUMEN
BACKGROUND: Quality improvement in surgery requires accurate, reliable, risk-adjusted and comparative data. The American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP) takes reliable clinical data and provides risk-adjusted comparisons with more than 800 hospitals. This paper describes the early outcomes of introducing this programme into New South Wales (NSW). METHODS: Four NSW hospitals formed a collaborative. Surgical clinical reviewers were trained and data collected. Risk-adjusted reports were returned to individual hospitals and the NSW Collaborative. RESULTS: The results identified that the NSW Collaborative were outliers for the following causes of morbidity: urinary tract infections, surgical site infections, pneumonia and 30-day readmissions. CONCLUSION: We have shown that ACS-NSQIP can be adapted to Australia and there is a plan to widen the programme in NSW.