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Web Resource > Multi-use Website
Royal College of Physicians and Surgeons of Glasgow, 232-242 St Vincent Street, Glasgow, UK G2 5RJ.
The Scottish Audit of Surgical Mortality (SASM) facilitates the peer review of all surgical deaths in Scotland. It has the unique distinction of being totally voluntary and involves input from more than 1100 consulting clinicians.
Journal Article > Study
Thompson AM, Ashraf Z, Burton H, Stonebridge PA. Br J Surg. 2005;92:1449-1452.
This study examined trends in clinical practice for patients dying under surgical care. Investigators evaluated more than 40,000 deaths and discovered several notable findings. These included reduced mortality after elective procedures, fewer adverse events attributed to deaths, greater identification of systems as an area for improvement, and increased utilization of deep vein thrombosis prophylaxis. The authors conclude that continuous peer review offers an important and cost-effective method for improving the safety and quality of care.
Journal Article > Review
The use of report cards and outcome measurements to improve the safety of surgical care: the American College of Surgeons National Surgical Quality Improvement Program.
Maggard-Gibbons M. BMJ Qual Saf. 2014;23:589-599.
The National Surgical Quality Improvement Program (NSQIP) was developed to monitor and enhance the quality of surgical care. This narrative review discusses how NSQIP has been implemented and utilized to support patient safety efforts, such as compiling and analyzing data about surgical complications to determine areas for improvement.
Journal Article > Study
5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: protocol, methods, and analysis of data.
Pandit JJ, Andrade J, Bogod DG, et al; Royal College of Anaesthetists and Association of Anaesthetists of Great Britain and Ireland. Br J Anaesth. 2014;113:540-548.
This study details the novel methodology and protocols developed by the 5th National Audit Project for reporting, categorizing, and analyzing events related to accidental awareness during general anesthesia in the United Kingdom and Ireland.
Journal Article > Commentary
Monahan JJ. AORN J. 2018;108:548-552.
The good catch, or near miss, can provide a key learning experience in health care practice. This article discusses the importance of organizational culture in utilizing these experiences as improvement opportunities. The author reviews strategies for nurses to engage in skill development through case review of good catches.