SAGES Manual of Quality, Outcomes and Patient Safety

John R. Romanelli, MD, FACSProfessor of SurgeryUniversity of Massachusetts Chan Medical School - Baystate Medical Center759 Chestnut Street, S3656Springfield, MA 01199Ph:  (413) 794-3175Fax: (413) 794-5940Jonathan M. Dort, MD, FACSDirector of Surgical Education and Surgery Residency Program DirectorInova Health SystemProfessor of Medical EducationUniversity of Virginia School of Medicine3300 Gallows RoadFalls Church, VA 22042Ph: (703) 776-3563                        Fax: (703) 776-2146Rebecca B. Kowalski, MDAssistant Professor of SurgeryDonald and Barbara Zucker School of Medicine at Hofstra/NorthwellLenox Hill Hospital186 East 76th Street, First floorNew York, NY  10021Ph: (212) 434-3285 Fax: (212) 434-3250Prashant Sinha, MD FACS Division Chief of Acute Care SurgeryAssociate Vice Chair of Quality and Clinical IntegrationNYU Langone’s Tisch HospitalNYU Grossman School of Medicine212-263-7302 Office212-263-7511 Fax•John Romanelli: john.romanelli@bhs.org•Jonathan Dort: jonathan.dort@inova.org•Prashant Sinha: prashant.sinha@nyumc.org•Rebecca Kowalski: rkowalski@nshs.edu

• Defining Quality in Surgery.- Never Events in Surgery.- Surgical Dashboard for Quality.- Understanding Complex Systems and How It Impacts Quality in Surgery.- Clinical Care Pathways.- Tracking Quality:  Data Registries (NSQIP, MBSAQIP, AHS-QC, etc.).- Accreditation Standards:  Bariatric Surgery.- Training for Quality:  Milestones, Mentoring, EPAs.- Implementing Quality Improvement at Your Institution.- Creating and Defining Quality Metrics That Matter in Surgery.- The Role of the Surgical Society in Quality.- Perioperative Risk Assessment.- The Current State of Surgical Outcomes Measurement.- Developing Patient-Centered Outcomes Metrics.- Optimizing Surgical Outcomes:  Enhanced Recovery Pathways .- Optimizing Pain Management:  Non-opioid pain management.- Taxonomy of Errors:  Adverse Event/Near Miss Analysis.- Disclosure of Complications and Error.- Avoidance of Complications.- Safe Introduction of Technology.- Quality, Safety, EMR.- Surgical Timeout, Briefing and Debriefing:  Safety in the Operating Room.- Effective Communication for Teamwork and Patient Safety.- Energy/Safety in the OR.- Patient Safety Indicators as Benchmarks.- Culture of Safety and Era of Better Practices.- Learning New Operations.- Team Training.- Simulation and OR Team Performance.- Debriefing After Simulation.- Simulation for Bad News.- Teleproctoring.- Training for Quality:  Fundamentals Program.- Training to Proficiency.- The Critical View of Safety:  Creating Procedural Safety Benchmarks.- Surgical Mentoring.- SAGES Commitment to Surgical Quality, Outcomes, and Safety.- Surgeon Wellness:  Strategies to Avoid Burnout.- The Disruptive Surgeon.- The Second Victim:  Handling Bad Outcomes (Paget).- The Surgeon in Distress:  How to Train a Surgeon as their Skills Decline.- Fatigue in Surgery:  Managing an Unrealistic Work Burden.- Training New Surgeons:  Maintaining Quality in the Era of Work Hours Regulations.- Maintaining Surgical Quality in the Setting of Surgical Crisis.- Robot or Not Robot – Hernia.- Consistent Operating Room Team.- Routine vs Selective Cholangiography for Prevention of CBD Injury.- OR attire – does it impact quality?.- Provision of Less Care/Withdrawal of Care.- Changing Paradigm in Trauma vs General Surgery: Who is Best to Offer the Care?.- Super-subspecialization of general surgery – is this better for patients?.- What is the Connection Between Conflict of Interest and Patient Safety/Outcomes/Quality.