Development and implementation of a national quality improvement skills curriculum for urology residents in the United Kingdom: A prospective multi-method, multi-center study.


BACKGROUND:Surgical quality improvement (QI) is a global priority. We report the design and proof-of concept testing of a QI skills curriculum for urology residents. METHODS:'Umbrella review' of QI curricula (Phase-1); development of draft QI curriculum (Phase-2); curriculum review by Steering Committee of urologists (Attendings & Residents), QI and medical education experts and patients (Phase-3); proof-of-concept testing (Phase-4). RESULTS:Phase-1: Six systematic reviews were identified of 4332 search hits. Most curricula are developed/evaluated in the USA; use mixed teaching methods (incl. didactic, QI exercises & self-reflection); and introduce core QI techniques (e.g., Plan-Do-Study-Act). Phase-2: curriculum drafted. Phase-3: the curriculum was judged to represent state-of-the-art, relevant QI training. Stronger patient involvement element was incorporated. Phase-4: the curriculum was delivered to 43 urology residents. The delivery was feasible; the curriculum implementable; and a knowledge-skills-attitudes evaluation approach successful. CONCLUSION:We have developed a practical QI curriculum, for further evaluation and national implementation.


Am J Surg


Pallari E,Khadjesari Z,Green JSA,Sevdalis N




Has Abstract


2019-02-01 00:00:00














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    abstract::An experimental wound model has been used to evaluate the effectiveness of cefazolin and cefoxitin in the prevention of wound infection. Incisions were contaminated with Staph. aureus, E. coli, or a standardized fecal suspension. Regardless of the contaminant employed, the prophylactic use of either cefazolin or cefox...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Sarap MD,Scher KS,Jones CW

    更新日期:1986-02-01 00:00:00

  • Duffy antigens and cancer in a black population.

    abstract::A genetic study of hybrid Baltimore blacks in relation to the presence of cancer may be timely since the mortality rate in blacks compared with the mortality rate in whites has increased considerably. The appearance of white genes in black persons may provide some help in such a study. A positive relationship was not ...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Miller JM,Miller JM

    更新日期:1983-11-01 00:00:00

  • Multiple primary melanoma in the elderly.

    abstract:BACKGROUND:Few data exist regarding surveillance for multiple primary melanoma (MPM) in elderly patients or whether the incidence and risk factors are the same as for younger patients. Thus, we studied the frequency and characteristics of MPM in the elderly melanoma patients. METHODS:From our prospective melanoma regi...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Krajewski AC,Hart DR,Hieken TJ

    更新日期:2016-01-01 00:00:00

  • Vascular complications of cardiac catheterization.

    abstract::Peripheral vascular complications after cardiac catheterization constitute an increasing portion of traumatic vascular injuries. To determine the incidence of these complications and the sequelae of their treatment, we reviewed 7,690 catheterizations performed over a 40-month period. One hundred eleven vascular compli...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Ricci MA,Trevisani GT,Pilcher DB

    更新日期:1994-04-01 00:00:00

  • Preoperative irradiation potentiation with cisplatin: effect on rate of wound infection.

    abstract::Platinum coordination complexes, such as cisplatin, potentiate the cytotoxicity of irradiation on squamous cell carcinoma and certain other solid tumors. Using a rat oro-cutaneous fistula model, an investigation was carried out to determine whether or not there was a concomitant potentiation with cisplatin of the dele...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Morain WD,Richmond RC,Jacobs NJ,Douple EB,Coughlin CT

    更新日期:1986-10-01 00:00:00

  • Applying international organization for standards 9001 to create an effective surgical quality committee.

    abstract:BACKGROUND:Efforts to improve surgical safety are limited by several factors and no consensus exists regarding the most effective way to improve surgical quality. The use of ISO 9001 quality standards within healthcare is recognized but has not been widely applied for improving surgical outcomes. METHODS:A surgical qu...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Slakey DP,George JS,Anderson E,Willeumier D,Guglielmi K

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    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Benizri EI,Bereder JM,Rahili A,Bernard JL,Benchimol D

    更新日期:2013-06-01 00:00:00

  • Modulation of human leukocyte antigen-DR on monocytes and CD16 on granulocytes in patients with septic shock using hemoperfusion with polymyxin B-immobilized fiber.

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    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Ono S,Tsujimoto H,Matsumoto A,Ikuta S,Kinoshita M,Mochizuki H

    更新日期:2004-08-01 00:00:00

  • Rectal prolapse in infants and children.

    abstract::Rectal prolapse that is intractable to the usual medical therapy was successfully managed without significant complications in 10 patients by simple subcutaneous encirclement of the anus with a heavy nonabsorbable suture, which was in place until the suture was removed or broke after 4 to 6 months. Four patients requi...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Groff DB,Nagaraj HS

    更新日期:1990-11-01 00:00:00

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    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Parmley MC,Broughan TA,Jennings WC

    更新日期:2002-12-01 00:00:00

  • Hyperglycemic hyperosmolar nonketotic dehydration in relation to blood ketone body ratio in partially hepatectomized rabbits.

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    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Nakatani T,Yasuda K,Ozawa K

    更新日期:1988-04-01 00:00:00

  • Vertical banded gastroplasty as an antireflux procedure.

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    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Deitel M,Khanna RK,Hagen J,Ilves R

    更新日期:1988-03-01 00:00:00

  • Effects of Ohio's opioid prescribing limit for the geriatric minimally injured trauma patient.

    abstract:BACKGROUND:Geriatric patients, age ≥65, frequently require no operation and only short observation after injury; yet many are prescribed opioids. We reviewed geriatric opioid prescriptions following a statewide outpatient prescribing limit. METHODS:Discharge and 30-day pain prescriptions were collected for geriatric p...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Young BT,Zolin SJ,Ferre A,Ho VP,Harvey AR,Beel KT,Tseng ES,Conrad-Schnetz K,Claridge JA

    更新日期:2020-03-01 00:00:00

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    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Richardson B,Preskitt J,Lichliter W,Peschka S,Carmack S,de Prisco G,Fleshman J

    更新日期:2016-01-01 00:00:00

  • Surgical management of total carotid artery occlusion. An update.

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    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Hunt DG,Wheeler CG,Bukhari HI,Hempel GK

    更新日期:1980-05-01 00:00:00

  • Acute suppurative cholangitis: comparison of internal and external biliary drainage.

    abstract::Forty-eight patients with acute cholangitis who presented with postcholocystectomy choledocholithiasis are reported on in this study. As soon as the general condition of the patients had improved, or as soon as the fluid balance was established, usually within 48 hours of admission, the patients were divided into two ...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Lygidakis NJ

    更新日期:1982-03-01 00:00:00

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    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Canopy E,Evans M,Boehler M,Roberts N,Sanfey H,Mellinger J

    更新日期:2015-10-01 00:00:00

  • Laryngeal involvement by differentiated thyroid carcinoma.

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    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Zbären P,Nuyens M,Thoeny HC,Stauffer E

    更新日期:2005-07-01 00:00:00

  • Factors influencing amount of guidance in the operating room during laparoscopic cases.

    abstract:BACKGROUND:Identifying factors associated with resident autonomy may help improve training efficiency. This study evaluates resident and procedural factors associated with level of guidance needed in the operating room. METHODS:Intraoperative performance and yearly performance on Fundamentals of Laparoscopic Surgery (...

    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Hoops HE,Haley C,Cook MR,Lopez O,Dewey E,Brasel KJ,Spight D,Kiraly LN

    更新日期:2019-05-01 00:00:00

  • Preoperative imaging for early-stage cutaneous melanoma: predictors, usage, and utility at a single institution.

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    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Haddad D,Garvey EM,Mihalik L,Pockaj BA,Gray RJ,Wasif N

    更新日期:2013-12-01 00:00:00

  • Assessing the national trends in colon cancer among Native Americans: A 12 year SEER database study.

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    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Thuraisingam R,Jandova J,Pandit V,Michailidou M,Nfonsam VN

    更新日期:2017-08-01 00:00:00

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    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Luna GK,Eddy AC,Copass M

    更新日期:1989-05-01 00:00:00

  • Achieving vascular access success in the quality outcomes era.

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    journal_title:American journal of surgery

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    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Gaspar MR

    更新日期:1990-02-01 00:00:00

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    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Cho A,Yamamoto H,Kainuma O,Nagata M,Takiguchi N,Shimada H,Soda H,Gunji H,Miyazaki A,Ikeda A

    更新日期:2010-07-01 00:00:00

  • Isolated symptomatic midcervical stenosis of the internal carotid artery.

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    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Ranval TJ,Solis MM,Barnes RW,Vitti MJ,Gagne PJ,Eidt JF,Barone GW,Harshfield DL,Schaefer RF,Read RC

    更新日期:1994-08-01 00:00:00

  • Surgical patient values frame and modify the impact of risk factors for non-routine postdischarge care: A mixed-methods study.

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    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Lumpkin ST,Mihas P,Baldwin X,Adams U,Carey T,Stitzenberg K

    更新日期:2021-01-01 00:00:00

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    journal_title:American journal of surgery

    pub_type: 杂志文章


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    更新日期:2020-01-01 00:00:00

  • Role of needle localization of nonpalpable breast lesions.

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    journal_title:American journal of surgery

    pub_type: 杂志文章


    authors: Denning DP,Farha GJ,McBoyle MF

    更新日期:1987-12-01 00:00:00

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    journal_title:American journal of surgery

    pub_type: 杂志文章


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    更新日期:2013-05-01 00:00:00