A challenge-response endoscopic sinus surgery specific checklist as an add-on to standard surgical checklist: an evaluation of potential safety and quality improvement issues

2018 ◽  
Vol 8 (7) ◽  
pp. 831-836 ◽  
Author(s):  
Doron D. Sommer ◽  
Sadaf Arbab-Tafti ◽  
Forough Farrokhyar ◽  
Marc Tewfik ◽  
Allan Vescan ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Potential Safety ◽  
Surgical Checklist

scholarly journals P64 Improving surgical consent – a quality improvement project to enhance the consenting process

BJS Open ◽  
2021 ◽  
Vol 5 (Supplement_1) ◽  
Author(s):  
Manu Shrivastava ◽  
J Brown ◽  
L Sun ◽  
Rajini Rajagopal ◽  
Manu Shrivastava
Keyword(s):  
Quality Improvement ◽  
Endoscopic Sinus Surgery ◽  
Elective Surgery ◽  
Functional Endoscopic Sinus Surgery ◽  
Quality Improvement Project ◽  
Sinus Surgery ◽  
Improvement Project ◽  
Consent Forms ◽  
Educational Meeting ◽  
Patient Interviews

Abstract Introduction RCS guidelines on consent, recently updated, encourage a dialogue where all risks material to that patient are discussed and are clear. An audit was performed to assess whether practice at Oxford Hospitals is compliant with these guidelines – that all patients for elective surgery are consented prior to admission. Method Thirty-two undergoing elective Functional Endoscopic Sinus Surgery (FESS), Tonsillectomy and Septoplasty were interviewed in May-June 2019. Baseline data were presented at a local educational meeting, along with education on the recent changes to the RCS guidelines. Repeat audit took place in August-September 2020. Results All 32 patients were consented as per RCS guidelines and understood the reason for their surgery, but only 31% could explain the risks, and 56% could explain alternative options. Twenty (63%) consent forms were easily legible on randomised heuristic assessment. After education and change in department practice, understanding of the operation was much improved (80-100%). One outcome was to create pre-filled consent forms for common ENT operations. Conclusions Whilst RCS policy on completing consent prior to admission is being achieved, patient interviews suggest a lack of understanding of the operation. Standardised consent forms have the potential to enhance this understanding, as well as saving time.

scholarly journals Real-Time Operative Coding for Endoscopic Sinonasal Procedures: Quality Improvement in Practice

Sinusitis ◽  
2021 ◽  
Vol 5 (1) ◽  
pp. 32-44
Author(s):  
Bassem Mettias ◽  
Joshua D. Whittaker ◽  
Yujay Ramakrishnan
Keyword(s):  
Quality Improvement ◽  
Endoscopic Sinus Surgery ◽  
Human Error ◽  
Financial Impact ◽  
Sinus Surgery ◽  
Clinical Coding ◽  
Tertiary Centre ◽  
Chi Squared ◽  
The Impact ◽  
Control Firm

Objective: investigate the impact of an intraoperative coding sticker (ICS) on the accuracy of coding in endoscopic sinonasal procedures. Methods: this was a two-cycle audit evaluating the accuracy (and financial impact) of intraoperative coding of sinonasal procedures at a single tertiary centre. An ICS was introduced following consultation with the coding department. The accuracy of coding was measured before (cycle 1) and after (cycle 2) the ICS was introduced to a pilot firm and compared to a control firm. The ICS was used in 35% of the pilot firm cases. Results: the accuracy of clinical coding for endoscopic sinus surgery was 60% in the first cycle. Switching to the ICS has improved the accuracy in that firm from 50% in first cycle to 70% in the second cycle (p = 0.936; Chi-squared test). The median reimbursement for endoscopic sinus surgery was equal in both cycles of £1493.00 per patient. However, inaccurate coding resulted in £109.92 excess tariff payment in first cycle and £130.96 deficiency in the second cycle. Users of ICS reported it to be easy to use for clinicians, staff and clinical coders, whilst minimizing human error. Conclusions: The integration of the ICS improves the coding in sinonasal procedures and offers low-fidelity option alternative to live coding on the computer. The accuracy was not statistically significant in the study possibly due to the low number of observations. This can allow a precise coding standard with reliable service remuneration.

scholarly journals 357 Improving Surgical Consent – A Quality Improvement Project to Enhance the Consenting Process

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
M Shrivastava ◽  
J Brown ◽  
L Sun ◽  
R Rajagopal
Keyword(s):  
Quality Improvement ◽  
Endoscopic Sinus Surgery ◽  
Elective Surgery ◽  
Functional Endoscopic Sinus Surgery ◽  
Quality Improvement Project ◽  
Sinus Surgery ◽  
Improvement Project ◽  
Consent Forms ◽  
Educational Meeting ◽  
Patient Interviews

Abstract Introduction RCS guidelines on consent, recently updated, encourage a dialogue where all risks material to that patient are discussed and are clear. An audit was performed to assess whether practice at Oxford Hospitals is compliant with these guidelines – that all patients for elective surgery are consented prior to admission. Method Thirty-two undergoing elective Functional Endoscopic Sinus Surgery (FESS), Tonsillectomy and Septoplasty were interviewed in May-June 2019. Baseline data were presented at a local educational meeting, along with education on the recent changes to the RCS guidelines. Repeat audit took place in August-September 2020. Results All 32 patients were consented as per RCS guidelines and understood the reason for their surgery, but only 31% could explain the risks, and 56% could explain alternative options. Twenty (63%) consent forms were easily legible on randomised heuristic assessment. After education and change in department practice, understanding of the operation was much improved (80-100%). One outcome was to create pre-filled consent forms for common ENT operations. Conclusions Whilst RCS policy on completing consent prior to admission is being achieved, patient interviews suggest a lack of understanding of the operation. Standardised consent forms have the potential to enhance this understanding, as well as saving time.

Use of Patient Satisfaction Data in a Continuous Quality Improvement Program for Endoscopic Sinus Surgery

2003 ◽  
Vol 129 (3) ◽  
pp. 210-216 ◽  
Author(s):  
Chih-Jaan Tai ◽  
Chia-Chen Chu ◽  
Shu-Cheng Liang ◽  
Ting-Fu Lin ◽  
Zu-Jin Huang ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Patient Satisfaction ◽  
Continuous Quality Improvement ◽  
Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Care Providers ◽  
Improvement Program ◽  
Continuous Quality ◽  
Septal Surgery

OBJECTIVE: Continuous quality improvement (CQI) is an effort by health care providers to improve the quality of service by continuously exceeding patients' expectations. Patient satisfaction is one of the measures of the quality of care. The aims of this study were to report the patients' evaluation of endoscopic sinus surgery (ESS) and to explore the feasibility in using patient satisfaction data in the CQI program for ESS. METHODS: Eighty-three patients completed a validated patient satisfaction survey (PSS) 1 month after undergoing ESS. Logistic regression models were applied to determine the confounders of patient satisfaction. RESULTS: In general, 72% of patients were very satisfied with the services. Education level and milder disease correlated with higher overall satisfaction levels ( P ≤ 0.01). Anesthesia, the addition of nasal septal surgery, intranasal packing, and postoperative sinuscopy had significant impacts on patient satisfaction ( P < 0.05). CONCLUSION: ESS is a good technique to evaluate for implementing efforts in quality improvement. Confounding factors need to be adjusted before patient satisfaction data can be used in a CQI program.

scholarly journals RePure-L^|^reg; (Image Quality Improvement Device) for Endoscopic Sinus Surgery

2010 ◽  
Vol 49 (2) ◽  
pp. 102-107
Author(s):  
Kota Wada ◽  
Ayako Masuda ◽  
Aya Mori ◽  
Chie Motoyama ◽  
Masaomi Motegi ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Image Quality ◽  
Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Image Quality Improvement

Endoscopic Sinus Surgery for Adenocarcinoma: Possibilities, Results, and Limitations

Skull Base ◽  
2005 ◽  
Vol 15 (S 2) ◽  
Author(s):  
Mark Jorissen ◽  
S. Bogaerts ◽  
V. Poorten
Keyword(s):  
Endoscopic Sinus Surgery ◽  
Sinus Surgery

A Case of Vidian Nerve Schwannoma: Resection by Endoscopic Sinus Surgery

2014 ◽  
Vol 57 (1) ◽  
pp. 50 ◽  
Author(s):  
Hyun Pyo Hong ◽  
Sung Won Yoon ◽  
Min Joon Park ◽  
Soo-Chan Jung
Keyword(s):  
Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Vidian Nerve
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