Meet your surgical team: The impact of a resident-led quality improvement project on patient satisfaction.

Abstract:

BACKGROUND:Patients often have an incomplete understanding of the levels of training and roles of the various surgical providers in teaching hospitals, leading to patient confusion and dissatisfaction. METHODS:Pre-intervention discharge surveys were administered to gastrointestinal surgery inpatients (10/2016-02/2017) to evaluate sentiments regarding their surgical team. During the intervention period (02/2017-05/2017), patients at admission received "facesheets" containing team member profiles, photos, training level, and roles. These patients were evaluated using the survey, and pre- and post-intervention scores compared. RESULTS:153 pre- and 100 post-intervention surveys were collected. There was a significant increase in patients reporting it was important to know the surgical team members and that they knew team member roles (p ≤ 0.05). Scores in every domain of the satisfaction survey improved in the post-intervention period, although not reaching statistical significance. CONCLUSIONS:Improving how patients perceive their interactions with their surgical team has implications on patient satisfaction and hospital quality metrics.

journal_name

Am J Surg

authors

Craig-Schapiro R,DiBrito SR,Overton HN,Taylor JP,Fransman RB,Haut ER,Sacks BC

doi

10.1016/j.amjsurg.2018.07.056

subject

Has Abstract

pub_date

2018-10-01 00:00:00

pages

793-799

issue

4

eissn

0002-9610

issn

1879-1883

pii

S0002-9610(18)30104-1

journal_volume

216

pub_type

临床试验,杂志文章
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    authors: Anthone GJ,Barry MK,Yeo CJ

    更新日期:1993-06-01 00:00:00

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    journal_title:American journal of surgery

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    doi:10.1016/j.amjsurg.2015.12.020

    authors: Lucas DJ,Ejaz A,Spolverato G,Kim Y,Gani F,Frank SM,Pawlik TM

    更新日期:2016-07-01 00:00:00

  • Rib fractures and their association With solid organ injury: higher rib fractures have greater significance for solid organ injury screening.

    abstract:BACKGROUND:The purpose of this study was to identify patients with rib injuries who were at risk for solid organ injury. METHODS:A retrospective chart review was performed of all blunt trauma patients with rib fractures during the period from July 2007 to July 2012. Data were analyzed for association of rib fractures ...

    journal_title:American journal of surgery

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    doi:10.1016/j.amjsurg.2016.08.002

    authors: Rostas JW,Lively TB,Brevard SB,Simmons JD,Frotan MA,Gonzalez RP

    更新日期:2017-04-01 00:00:00

  • Results of BCG adjuvant immunotherapy in 100 patients with epidermoid carcinoma of the head and neck.

    abstract::One hundred patients with advanced, recurrent, or metastatic squamous cell carcinoma of the head and neck were treated with chemotherapy and BCG as adjuvant immunotherapy. The overall response rate was 35 per cent, and the median duration of response was seventeen weeks. BCG does not prolong duration of remission or s...

    journal_title:American journal of surgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/0002-9610(77)90381-6

    authors: Suen JY,Richman SP,Livingston RB,Hersh EM,Craig R,Tonymon K

    更新日期:1977-10-01 00:00:00

  • The intestinal mucosal barrier to intact antigenic protein. Difference between colon and small intestine.

    abstract::The integrity of the normal mature intestinal mucosal barrier to unaltered proteins was evaluated with tritiated bovine albumin in rats. Intact H3-BSA placed into either colon or small intestinal lumen regularly reached the bloodstream in quantities sufficient to be antigenic or toxigenic, although the fraction of H3-...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(77)90193-3

    authors: Warshaw AL,Bellini CA,Walker WA

    更新日期:1977-01-01 00:00:00

  • The tension-free hernioplasty in a randomized trial.

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    journal_title:American journal of surgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/S0002-9610(96)00188-2

    authors: Friis E,Lindahl F

    更新日期:1996-10-01 00:00:00

  • Leading from Behind: Paucity of gender equity statements and policies among professional surgical societies.

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    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2020.06.041

    authors: Heisler CA,Miller P,Stephens EH,Ton J,Temkin SM

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  • Abnormal mammographic findings. A critical appraisal.

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    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(84)90130-2

    authors: Carter PL,Gillespie JT

    更新日期:1984-05-01 00:00:00

  • Variations in the utilization of immediate post-mastectomy breast reconstruction.

    abstract:BACKGROUND:For female breast cancer (BC) patients undergoing mastectomy, post-mastectomy breast reconstruction (PMBR) confers significant psychosocial benefits and improved cosmetic outcomes. The objective of this study is to explore whether the utilization of PMBR varies by race, marital status, and geographical locat...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2019.07.025

    authors: Nayyar A,Strassle PD,Reddy KG,Jameison DI,Moses CG,Roughton MC,McGuire KP,Gallagher KK

    更新日期:2019-10-01 00:00:00

  • Development of a simple model for predicting need for surgery in patients who initially undergo conservative management for adhesive small bowel obstruction.

    abstract:BACKGROUND:Among patients with adhesive small bowel obstruction (ASBO) initially managed with a conservative strategy, predicting risk of operation is difficult. METHODS:We investigated ASBO patients at 2 different periods to derive and validate a clinical prediction model for risk of operation. RESULTS:One hundred f...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2009.07.045

    authors: Komatsu I,Tokuda Y,Shimada G,Jacobs JL,Onodera H

    更新日期:2010-08-01 00:00:00

  • Biliary carcinoembryonic antigen levels are a marker for cholangiocarcinoma.

    abstract:BACKGROUND:Cholangiocarcinoma develops in 5% to 15% of patients with choledochal cysts, sclerosing cholangitis, and intrahepatic stones. The detection of cholangiocarcinoma in patients with premalignant biliary conditions has been difficult. Serum levels of carcinoembryonic antigen (CEA) have been neither sensitive nor...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/S0002-9610(99)80090-7

    authors: Nakeeb A,Lipsett PA,Lillemoe KD,Fox-Talbot MK,Coleman J,Cameron JL,Pitt HA

    更新日期:1996-01-01 00:00:00

  • Giant duodenal hamartoma consisting mainly of Brunner's glands.

    abstract::A successfully treated case of a duodenal hamartoma is presented. A review of the literature has shown that this is the largest such tumor so far described, and the first time a mass was palpable on abdominal examination. Its large size resulted in pyloric obstruction, and its wide attachment to the duodenum necessita...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(77)90090-3

    authors: de Silva S,Chandrasoma P

    更新日期:1977-02-01 00:00:00

  • Why saying what you mean matters: An analysis of trauma team communication.

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    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2017.11.008

    authors: Jung HS,Warner-Hillard C,Thompson R,Haines K,Moungey B,LeGare A,Shaffer DW,Pugh C,Agarwal S,Sullivan S

    更新日期:2018-02-01 00:00:00

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    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(99)00102-6

    authors: Humphries AL Jr,Colborn GL,Wynn JJ

    更新日期:1999-06-01 00:00:00

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    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(76)90360-3

    authors: Pilch YH,de Kernion JB,Skinner DG,Ramming KP,Schick PM,Fritze D,Brower P,Kern DH

    更新日期:1976-11-01 00:00:00

  • Risk factors for anastomotic leakage after resection for rectal cancer.

    abstract:BACKGROUND:Controversy still exists concerning the impact of patient and tumor characteristics on anastomotic dehiscence after resection for rectal cancer. METHODS:Between January 1986 and July 2006, 472 patients underwent curative rectal resection. Patient and tumor characteristics, details of treatment, and postoper...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2007.10.023

    authors: Eberl T,Jagoditsch M,Klingler A,Tschmelitsch J

    更新日期:2008-10-01 00:00:00

  • Platelet dysfunction on thromboelastogram is associated with severity of blunt traumatic brain injury.

    abstract:BACKGROUND:Platelet dysfunction associated with isolated traumatic brain injury (TBI) can be measured using thromboelastography-platelet mapping (TEG-PM). We hypothesized that platelet dysfunction can be detected after blunt TBI, and the degree of dysfunction is associated with increased TBI severity and in-hospital mo...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2019.09.024

    authors: Kay AB,Morris DS,Collingridge DS,Majercik S

    更新日期:2019-12-01 00:00:00

  • A modified frailty index predicts adverse outcomes among patients with colon cancer undergoing surgical intervention.

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    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2018.07.006

    authors: Pandit V,Khan M,Martinez C,Jehan F,Zeeshan M,Koblinski J,Hamidi M,Omesieta P,Osuchukwu O,Nfonsam V

    更新日期:2018-12-01 00:00:00

  • Understanding variation in the management of rectal cancer: the potential of a surgeon-initiated database.

    abstract:BACKGROUND:Administrative databases oversimplify the relationship of factors such as volume or training on surgical outcomes. METHODS:A prospective statewide surgeon-initiated database was queried to obtain incident cases of rectal cancer in Vermont from April 1999 to June 2001. Demographics, procedure performed, meth...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2007.01.029

    authors: Hyman N,Healey C,Osler T,Cataldo P

    更新日期:2007-10-01 00:00:00

  • Usefulness of positron emission tomography for assessing the response of neoadjuvant chemoradiotherapy in patients with esophageal cancer.

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    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(02)00932-7

    authors: Kato H,Kuwano H,Nakajima M,Miyazaki T,Yoshikawa M,Masuda N,Fukuchi M,Manda R,Tsukada K,Oriuchi N,Endo K

    更新日期:2002-09-01 00:00:00

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    abstract::A retrospective review of 58 rare breast neoplasms encountered at the British Columbia Cancer Agency between 1972 and 1992 was undertaken. There were 38 cystosarcoma phyllodes tumors, 6 carcinosarcomas, and 14 other sarcomas. Initial management involved total mastectomy in 37 cases, wide excision in 14, and excision b...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(94)90238-0

    authors: McGregor GI,Knowling MA,Este FA

    更新日期:1994-05-01 00:00:00

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    abstract:BACKGROUND:Portal vein embolization (PVE), proposed to induce contralateral hepatic hypertrophy before major hepatectomy, carries some negative side effects since growth rate of metastases in the future remnant liver (RL) can be more rapid than that of nontumoral liver parenchyma. Therefore, metastases in the RL should...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(02)01373-9

    authors: Jaeck D,Bachellier P,Nakano H,Oussoultzoglou E,Weber JC,Wolf P,Greget M

    更新日期:2003-03-01 00:00:00

  • Tension-free hernia repair is associated with an increase in inflammatory response markers against the mesh.

    abstract:BACKGROUND:The purpose of this study was to evaluate the involvement of inflammatory mediators in patients undergoing Lichtenstein tension-free hernioplasty (LH) using polypropylene prosthetic materials or conventional Bassini hernia repair (BH). METHODS:Thirty patients male with unilateral inguinal hernia without com...

    journal_title:American journal of surgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0002-9610(00)00445-1

    authors: Di Vita G,Milano S,Frazzetta M,Patti R,Palazzolo V,Barbera C,Ferlazzo V,Leo P,Cillari E

    更新日期:2000-09-01 00:00:00

  • Surgical management of complications of endoscopic sphincterotomy with precut papillotomy.

    abstract::We reviewed 574 endoscopic sphincterotomy procedures. Fifty-six precut papillotomies were performed. Presenting conditions included choledocholithiasis, cholangitis, benign and malignant papillary strictures, and stenosing papillitis. Complications were identified in 16 percent: perforation in 9 percent, pancreatitis ...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(05)80618-x

    authors: Booth FV,Doerr RJ,Khalafi RS,Luchette FA,Flint LM Jr

    更新日期:1990-01-01 00:00:00

  • Heat welding for surgical sutures.

    abstract::The purpose of this experimental study was to test the potential value of heat welding to cut the ends of knotted surgical sutures. This heat process resulted in knot security in a coated polyglactin suture with fewer throws than those needed for the same suture with knotted ends cut by scissors. Results of mechanical...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(85)90069-8

    authors: Masterson TM,Thacker JG,Rodeheaver GT,Edlich RF

    更新日期:1985-09-01 00:00:00

  • Incidence and associated mortality of retained common bile duct stones.

    abstract::A hundred consecutive patients who underwent cholecystectomy and exploration of the common bile duct were studied. The traditional indications for exploration resulted in a yield of 55 percent positive explorations. There were nine patients with retained stones, three of whom died. The high mortality rate of patients ...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(85)90410-6

    authors: Rogers AL,Farha GJ,Beamer RL,Chang FC

    更新日期:1985-12-01 00:00:00

  • Closure of craniofacial defects after cancer resection.

    abstract::Resection of malignancies of the upper face and skull base may result in complex bone and soft tissue defects. To better define the optimal management of these defects, we conducted a retrospective review of 75 consecutive patients who underwent closure of 76 craniofacial defects after malignant tumor excision from 19...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(91)90160-f

    authors: Wornom IL 3rd,Neifeld JP,Mehrhof AI Jr,Young HF,Chinchilli VM

    更新日期:1991-10-01 00:00:00

  • Mesenteric vascular disease.

    abstract::Mesenteric vascular disease continues to be associated with an extremely high mortality. It is not necessarily a disease of old age: 20 of the 75 patients in our series were less than 60 years of age. In retrospect, earlier diagnosis and a more aggressive approach could have improved the survival rate of 17.3 percent....

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(80)90251-2

    authors: Hildebrand HD,Zierler RE

    更新日期:1980-02-01 00:00:00

  • Prevention and management of venous thromboembolism in the surgical patient: options by surgery type and individual patient risk factors.

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    journal_title:American journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.amjsurg.2009.10.007

    authors: Muntz JE,Michota FA

    更新日期:2010-01-01 00:00:00

  • Reliable prediction of postmastectomy lymphedema: The Risk Assessment Tool Evaluating Lymphedema.

    abstract:BACKGROUND:Breast cancer-related lymphedema remains a significant complication post mastectomy. Identifying patients at highest risk may better inform targeted healthcare resource allocation and improve outcomes. This study aims to identify lymphedema predictors after mastectomy to develop a simple, accurate risk asses...

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    pub_type: 杂志文章

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    更新日期:2017-06-01 00:00:00