South­west surgery pro­gram earns in­ter­na­tional com­men­da­tion

Prairie Post (West Edition) - - Prairies -

Chi­nook Re­gional Hospi­tal is one of 83 hos­pi­tals world­wide — and the only hospi­tal in Al­berta — to be com­mended by the Amer­i­can Col­lege of Sur­geons for ex­em­plary sur­gi­cal out­comes.

The col­lege’s Na­tional Sur­gi­cal Qual­ity Im­prove­ment Pro­gram selected the lo­cal Al­berta Health Ser­vices (AHS) fa­cil­ity from more than 800 par­tic­i­pat­ing hos­pi­tals around the world.

“We are tremen­dously grate­ful to our nurses, hospi­tal staff, physi­cians and sur­geons for the great job they do in go­ing above and be­yond to serve pa­tients, and pro­vide safe, timely care,” says Dr. Jack Regehr, Zone Med­i­cal Di­rec­tor for AHS South Zone. “This pro­gram and award demon­strates that great care is safe, ef­fi­cient and cost-ef­fec­tive as well. We ap­pre­ci­ate our pa­tients and staff putting up with con­stant change as we con­tinue to strive to reach ever higher stan­dards of care.”

About 10,000 surg­eries, in­clud­ing day surg­eries, are per­formed an­nu­ally at Chi­nook Re­gional Hospi­tal, which joined the Na­tional Sur­gi­cal Qual­ity Im­prove­ment Pro­gram in 2014.

The pro­gram’s goal is to re­duce in­fec­tions, ill­nesses and deaths re­lated to sur­gi­cal pro­ce­dures by pro­vid­ing sur­gi­cal teams with the best, most cur­rent ev­i­dence re­lated to the prac­tice of surgery.

Chi­nook Re­gional Hospi­tal tracks sur­gi­cal out­comes and uses this data to iden­tify op­por­tu­ni­ties for im­prove­ment in the qual­ity of sur­gi­cal care. Among the surgery-re­lated im­prove­ments re­ported at Chi­nook Re­gional Hospi­tal be­tween 2016 and 2017:

• The rate of post­op­er­a­tive in­fec­tions (all types of surg­eries) went from 2.76 per cent in 2016 to 2.02 per cent in 2017, a 27 per cent re­duc­tion, plac­ing Chi­nook Re­gional Hospi­tal in the top third of par­tic­i­pat­ing hos­pi­tals.

• The 30-day re-ad­mis­sion rate for gen­eral surgery pa­tients went from 22 events in 2016 to 12 events in 2017, plac­ing Chi­nook Re­gional Hospi­tal in the top 10 per cent of all par­tic­i­pat­ing hos­pi­tals.

• Out of 541 or­tho­pe­dic surg­eries in 2017, there were no car­diac com­pli­ca­tions, due in part to im­proved pre-op­er­a­tive as­sess­ments that aim to bet­ter pre­pare pa­tients prior to surgery (there were none in 2016 ei­ther). Last year, the hospi­tal also had no car­diac com­pli­ca­tions for all types of surgery; there were five car­diac events for all types of surgery in 2016.

“The sur­gi­cal teams at Chi­nook Re­gional Hospi­tal have demon­strated how to use clin­i­cal data as a de­ci­sion-mak­ing guide­line for im­prove­ment work that is world class,” says David Chakra­vorty, a Pro­vin­cial Lead with the AHS Surgery Strate­gic Clin­i­cal Net­work.

Hav­ing a way to track our progress has been a great way to guide our qual­ity im­prove­ment ef­forts,” adds hospi­tal anes­the­si­ol­o­gist Dr. Melissa Se­ti­awan: “It’s a slow and sure process but it does pay off, as our cur­rent stand­ing shows.”

The 83 com­mended hos­pi­tals achieved the dis­tinc­tion based on their out­stand­ing qual­ity scores across eight ar­eas, in­clud­ing mor­tal­ity, re­nal fail­ure, pneu­mo­nia, car­diac in­ci­dents, sur­gi­cal site in­fec­tions and uri­nary tract in­fec­tions.

The Amer­i­can Col­lege of Sur­geons is a sci­en­tific and ed­u­ca­tional or­ga­ni­za­tion of sur­geons that was founded in 1913 to raise the stan­dards of sur­gi­cal prac­tice and to im­prove the care of the sur­gi­cal pa­tient.

The col­lege is ded­i­cated to the eth­i­cal and com­pe­tent prac­tice of surgery. Its achieve­ments have sig­nif­i­cantly in­flu­enced the course of sci­en­tific surgery in Amer­ica and have es­tab­lished it as an im­por­tant ad­vo­cate for all sur­gi­cal pa­tients. The col­lege has more than 80,000 mem­bers and it is the largest or­ga­ni­za­tion of sur­geons in the world.

Al­berta Health Ser­vices is the pro­vin­cial health au­thor­ity re­spon­si­ble for plan­ning and de­liv­er­ing health sup­ports and ser­vices for more than four mil­lion adults and chil­dren liv­ing in Al­berta. Its mis­sion is to pro­vide a pa­tient-fo­cused, qual­ity health sys­tem that is ac­ces­si­ble and sus­tain­able for all Al­ber­tans.

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