Surgical Improvement

Surgical Improvement

Surgical Improvement

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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.

Last week, the BC Ministry of Health released A Commitment to Surgical Renewal in BC  to provide surgeries to patients in the safest way possible, based on patient need. This plan includes a timeline for May – August 2020, an overview of how COVID-19 affected surgeries and an outline of five steps for surgical renewal.

The updated clinical guidelines on the BC Center for Disease Control (CDC) website are key to the success of this plan.

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.

Hip & Knee Arthroplasty: Improving Access Outcomes & Length of Stay (Webinar, December 2019)

This SQAN webinar featured Dr. Ralph Belle and nurse practitioner Pamela Colley sharing their approach to streamlining hip and knee surgeries at Burnaby Hospital. Through this approach, the team improved clinical indicators, worked collaboratively with central intake and helped patients improve their quality of life.

See the Presentation and Resources here

SQAN Day: Spreading Innovation in Surgical Care (October 2019)

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.

See the Presentations and Resources here

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:

National Surgical Quality Improvement Program

NSQIP is helping 24 hospitals in BC to monitor patient outcomes for 30 days after surgery.

Improve Surgical Culture

The Surgical Quality Action Network is helping surgical teams improve their teamwork and communication.

Events You Might Be Interested in...

See More Upcoming Events

Key Resources

NSQIP 5 Year report

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

Past Events

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]

Webinar Recordings

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]