Work System Assessment to Facilitate the Dissemination of a Quality Improvement Program for Optimizing Blood Culture Use: A Case Study Using a Human Factors Engineering Approach

2017 ◽  
Vol 8 (1) ◽  
pp. 39-45 ◽  
Author(s):  
Anping Xie ◽  
Charlotte Z Woods-Hill ◽  
Anne F King ◽  
Heather Enos-Graves ◽  
Judy Ascenzi ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Blood Culture ◽  
Human Factors ◽  
Quality Improvement Program ◽  
Human Factors Engineering ◽  
Improvement Program ◽  
Work System ◽  
Engineering Approach ◽  
System Assessment

scholarly journals Gaining momentum in colorectal surgical site infection reduction through a human factors engineering approach

2020 ◽  
pp. 1-3
Author(s):  
Aurora E. Pop-Vicas ◽  
Julie A. Keating ◽  
Charles Heise ◽  
Pascale Carayon ◽  
Nasia Safdar
Keyword(s):  
Human Factors ◽  
Surgical Site Infection ◽  
Clinical Work ◽  
Barriers And Facilitators ◽  
Human Factors Engineering ◽  
Site Infection ◽  
Work System ◽  
Engineering Approach ◽  
Infection Reduction ◽  
Multiple Interventions

Surgical site infection (SSI) prevention requires multiple interventions packaged into “bundles.” The implementation of all bundle elements is key to the bundle’s efficacy. A human-factors engineering approach can be used to identify key barriers and facilitators to implementing elements and develop recommendations for bundle implementation within the clinical work system.

Upper Extremity Free Flap Transfers: An Analysis of the National Surgical Quality Improvement Program Database

2020 ◽  
Author(s):  
George A. Beyer ◽  
Karan Dua ◽  
Neil V. Shah ◽  
Joseph P. Scollan ◽  
Jared M. Newman ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Upper Extremity ◽  
Free Flap ◽  
Quality Improvement Program ◽  
Readmission Rates ◽  
Improvement Program ◽  
Surgical Quality ◽  
Flap Transfer ◽  
Free Flap Transfer ◽  
Reoperation Rates

Abstract Introduction We evaluated the demographics, flap types, and 30-day complication, readmission, and reoperation rates for upper extremity free flap transfers within the National Surgical Quality Improvement Program (NSQIP) database. Materials and Methods Upper extremity free flap transfer patients in the NSQIP from 2008 to 2016 were identified. Complications, reoperations, and readmissions were queried. Chi-squared tests evaluated differences in sex, race, and insurance. The types of procedures performed, complication frequencies, reoperation rates, and readmission rates were analyzed. Results One-hundred-eleven patients were selected (mean: 36.8 years). Most common upper extremity free flaps were muscle/myocutaneous (45.9%) and other vascularized bone grafts with microanastomosis (27.9%). Thirty-day complications among all patients included superficial site infections (2.7%), intraoperative transfusions (7.2%), pneumonia (0.9%), and deep venous thrombosis (0.9%). Thirty-day reoperation and readmission rates were 4.5% and 3.6%, respectively. The mean time from discharge to readmission was 12.5 days. Conclusion Upper extremity free flap transfers could be performed with a low rate of 30-day complications, reoperations, and readmissions.

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