Our vision for surgical care in BC is to use evidence-based, data-driven programs, to decrease complications and infections, and provide better outcomes for the 200,000 British Columbians who undergo surgery each year. Since 2011, we’ve helped advance the quality of surgical care in BC through evidence-based, data-driven programs.
We lead the Surgical Quality Action Network (SQAN), which uses innovative approaches to improve teamwork and communication among surgical teams, engage patients and track and evaluate patient outcomes through the National Surgical Quality Improvement Program.
Almost 450 health care providers have joined SQAN, using it as a forum to share best practices, leverage data to inform improvement and connect to share and spread local innovation.
Together they’ve saved more than 12,000 bed days over a five-year period, prevented infections and improved surgical teams’ teamwork and communication.
SQAN coordinates and aligns these broad efforts within the Ministry of Health’s Surgical Services Strategy, the Surgical Action Plan and emerging initiatives such as the Measurement System for Physician Quality Improvement.
SQAN Day: Spreading Innovation in Surgical Care
Together with the Ministry of Health and the Specialist Services Committee, we hosted SQAN Day: Spreading Innovation in Surgical Care on October 7, 2019.
The goals of the event were to:
- Learn and share diverse perspectives on improving care for surgical patients with colleagues from across the province;
- Increase participant knowledge of successful improvement initiatives and practical tools that can enhance their own work;
- Uncover and align information that supports and accelerates work associated with the provincial Surgical Action Plan; and
- Increase participant understanding of how to use data to inform, support and drive improvements in surgical care quality.
We livestreamed SQAN Day’s opening ceremonies and keynote presentation! First, Syexwáliya / Ann Whonnock, Marilyn Copes and Colleen Kennedy welcomed everyone and got the day started. Then, Dr. Bob Bell, an internationally recognized orthopaedic surgeon, clinician-scientist and educator, delivered his keynote presentation, “Right Care at the Right Time: Learning From the Ontario Wait Time Experience.”
Watch the recording of the livestream:
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- Wednesday, January 29, 2020 • 0830 - 1630 PST
Advancing the Surgical Quality Agenda in BC
Building on the provincial Surgical Services Strategy and Surgical Action Plan, individuals from across the province came together in February 2019 for a dive deep into a number of opportunities to improve patient care, including:
- Spotlighting and spreading successful local surgical quality and safety initiatives from the local to the provincial;
- Exploring how to leverage data to inform surgical quality improvement;
- Learning about the Measurement System for Physician Quality Improvement, a partnership between Doctors of BC and Ministry of Health and its initial focus on surgery;
- Aligning, focusing and energizing our efforts through the National Surgical Quality Improvement Program (NSQIP), patient-reported experience measures (PREMs)/patient reported outcome measures (PROMS), appropriateness, and more; and
- Networking and connecting with colleagues from across the province.
NSQIP Report: Improved Outcomes = Improved Access
This report reviews data collected by NSQIP sites between 2011-2015, in order to understand the impact on local improvement efforts, provincial surgical improvement initiatives, and surgical team environments. These data show that NSQIP improved care and outcomes for surgical patients across BC.Read the Report
The 10K: 10,000 Reasons to Race for Infection Prevention
In 2015, we launched an improvement collaborative to reduce infections occurring after surgery. With 10,000 surgical patients in BC suffering from a surgical site infection (SSI) or urinary tract infection (UTI) each year, the “10K” focused on 10,000 Reasons to Race for Infection Prevention and aimed to reduce SSIs and UTIs at participating teams’ sites.Read the Report
Tackling Complex Problems with Team-Based Solutions: NSQIP in BC 2014
NSQIP in British Columbia expanded dramatically since two hospitals started the program in 2006, growing to 24 participating hospitals in 2014. BC’s NSQIP sites responded to the challenge of reacting in a timely manner to their initial data and worked towards improving patient care across all areas of surgery. This report covers these past three and a half years, gains have been made in several areas that have improved patient outcomes, reduced complications and saved lives.Read the Report
NSQIP 2.5 Years After Start Up: Is It Worth It?
In 2011, hospitals were offered the opportunity to join the most robust surgical outcome program in the world: NSQIP, which is coordinated by the American College of Surgeons. This report collates the findings from the July 2013 risk-adjusted reports and local stories across 23 participating sites in BC.Read the Report
Kick Starting Surgical Improvement in BC! – Nov. 2011 [agenda]
Enhancing NSQIP: Statistics, Improvement Methods & More! – May 2012 [agenda]
Spotlighting Surgical Improvement in BC – Nov. 2012 [agenda]
Physician Champion Meeting – April 2013 [agenda]
Improving Teamwork & Communication in the OR – July 2013 [agenda]
Crowdsourcing Surgical Improvement – Oct. 2013 [agenda]
The Next Step in Surgical Improvement – Oct. 2014 [agenda]
Cross-Canadian Collaboration in Surgery: NSQIP as a Catalyst – Feb. 2015 [agenda]
The 10K: Welcome to the Starting Line – Oct. 2015 [agenda]
BC Surgical Summit: Advancing Pre-Surgical Optimization & Enhanced Recovery – Jan. 2018 [agenda]
Advancing the Surgical Quality Agenda in BC – Feb. 2019 [resources]
The Checkbox Paradox [video]
Interpreting and Using Safety Attitudes Questionnaire Results [video]
Clinical Champions in Teamwork and Communication [video]
The Path to a Culture of Operating Room Safety [video]
Improvement Roadmap in Teamwork and Communication [video]
Using the Safety Attitudes Questionnaire and the BC Culture Initiative [video]
Enhanced Recovery after Colorectal Surgery – Studentship SQAN 2014 [video]
Enhanced Recovery in Canada – Can we really have it all? [video]
Open Space Technology [video]
Evaluation of the NSQIP Risk Calculator – Studentship SQAN 2014 [video]
Culture Improvement Refresher [video]
The Future of Surgery in BC [video]
Comparing the ACS NSQIP vs. Traditional M+M Rounds – Studentship SQAN 2014 [video]
FOCUS Surgical Site Infection Reduction – Studentship SQAN 2014 [video]
Safety Culture & NSQIP [video]