Quality and Safety

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Author(s): Daniel Rubin (University of Chicago, USA)and Avery Tung (University of Chicago, USA)
Copyright: 2015
Pages: 20
Source title: Modern Concepts and Practices in Cardiothoracic Critical Care
Source Author(s)/Editor(s): Adam S. Evans (Icahn School of Medicine at Mount Sinai, USA), Gregory E. Kerr (Weill Cornell Medical College, USA), Insung Chung (Icahn School of Medicine at Mount Sinai, USA)and Robin Varghese (Icahn School of Medicine at Mount Sinai, USA)
DOI: 10.4018/978-1-4666-8603-8.ch002

Keywords: Cardiovascular Medicine / Medical Diagnosis and Practice / Medical Information Science Reference / Medicine & Healthcare

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Abstract

Quality improvement is a goal of all institutions but effective quality improvement programs have been difficult to create and sustain. Cardiac surgery has long been a pioneer in the quality improvement process through protocolization, large database analysis, and evidence based research. This chapter will discuss the theoretical foundation for quality improvement in medicine, and address current quality improvement strategies in the cardiothoracic ICU including care bundles, large database review, and externally promulgated quality programs such as the Surgical Care Improvement Project (SCIP) or the Physician Quality Reporting Initiative (PQRS). Controversies from national quality improvement programs including SCIP, extended staffing, and the value of quality culture will be discussed.

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