Quality and Safety in Neurosurgery covers 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.
1. Quality and Safety in Neurosurgery - p. i 2. Cover Image - p. i 3. Title Page - p. ii 4. Copyright - p. iv 5. Contributors - p. ix 6. About the Editors - p. xiii 7. Preface - p. xv 8. Chapter 1 The Many Perspectives of Quality and Safety in Neurosurgery - p. 3 9. Chapter 2 The History and Future of Quality and Safety in Neurosurgery - p. 13 10. Chapter 3 Clinical Research in Quality Improvement: Complementary Approaches to Improving Neurosurgical Practice - p. 25 11. Chapter 4 On Developing the Tools and Metrics for a Neurosurgical Quality Program - p. 37 12. Chapter 5 The Role of Clinical Registries in Health Care - p. 53 13. Chapter 6 Measuring Value of Health Care: The Importance and Challenges of Measuring True Cost - p. 69 14. Chapter 7 Teams, Competence, and Safety in Surgery - p. 79 15. Chapter 8 Evidence-Based Practice of Neurosurgery: Implications for Quality and Safety - p. 97 16. Chapter 9 The Physician Handoff and Its Role in Quality and Safety - p. 107 17. Chapter 10 Improving Operating Room Safety - p. 126 18. Chapter 11 Using Multicenter Clinical Registries to Improve Outcomes - p. 141 19. Chapter 12 Improving Efficiency and Mapping Surgical Procedures Using Lean Methods - p. 169 20. Chapter 13 Quality Efforts for Reducing Mortality in Neurosurgery - p. 177 21. Chapter 14 Reducing Readmissions - p. 189 22. Chapter 15 Improving Outcomes: Big Data and Predictive Analytics - p. 205 23. Chapter 16 Improving Performance by Improving Education - p. 213 24. Chapter 17 Improving Outcomes With Subspecialization and Regionalization - p. 225 25. Chapter 18 Quality of Care and Outcomes in Pediatric Neurosurgery: Incorporating Evidence-Based Practice - p. 237 26. Chapter 19 Eliminating Unnecessary Diagnostic Imaging and Labs - p. 251 27. Chapter 20 Creating National Practice Standards Through Collaboration - p. 257 28. Chapter 21 Use of Risk Model for Assessment of Resident Perception of Surgical Complexity and Evaluation of Procedural Competence - p. 269 29. Chapter 22 Use of a Physical Education and Nutrition Program to Improve Outcomes - p. 277 30. Index - p. 293
Quality and Safety in Neurosurgery covers 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.
1. Quality and Safety in Neurosurgery - p. i 2. Cover Image - p. i 3. Title Page - p. ii 4. Copyright - p. iv 5. Contributors - p. ix 6. About the Editors - p. xiii 7. Preface - p. xv 8. Chapter 1 The Many Perspectives of Quality and Safety in Neurosurgery - p. 3 9. Chapter 2 The History and Future of Quality and Safety in Neurosurgery - p. 13 10. Chapter 3 Clinical Research in Quality Improvement: Complementary Approaches to Improving Neurosurgical Practice - p. 25 11. Chapter 4 On Developing the Tools and Metrics for a Neurosurgical Quality Program - p. 37 12. Chapter 5 The Role of Clinical Registries in Health Care - p. 53 13. Chapter 6 Measuring Value of Health Care: The Importance and Challenges of Measuring True Cost - p. 69 14. Chapter 7 Teams, Competence, and Safety in Surgery - p. 79 15. Chapter 8 Evidence-Based Practice of Neurosurgery: Implications for Quality and Safety - p. 97 16. Chapter 9 The Physician Handoff and Its Role in Quality and Safety - p. 107 17. Chapter 10 Improving Operating Room Safety - p. 126 18. Chapter 11 Using Multicenter Clinical Registries to Improve Outcomes - p. 141 19. Chapter 12 Improving Efficiency and Mapping Surgical Procedures Using Lean Methods - p. 169 20. Chapter 13 Quality Efforts for Reducing Mortality in Neurosurgery - p. 177 21. Chapter 14 Reducing Readmissions - p. 189 22. Chapter 15 Improving Outcomes: Big Data and Predictive Analytics - p. 205 23. Chapter 16 Improving Performance by Improving Education - p. 213 24. Chapter 17 Improving Outcomes With Subspecialization and Regionalization - p. 225 25. Chapter 18 Quality of Care and Outcomes in Pediatric Neurosurgery: Incorporating Evidence-Based Practice - p. 237 26. Chapter 19 Eliminating Unnecessary Diagnostic Imaging and Labs - p. 251 27. Chapter 20 Creating National Practice Standards Through Collaboration - p. 257 28. Chapter 21 Use of Risk Model for Assessment of Resident Perception of Surgical Complexity and Evaluation of Procedural Competence - p. 269 29. Chapter 22 Use of a Physical Education and Nutrition Program to Improve Outcomes - p. 277 30. Index - p. 293
