What does it take to provide top surgical care in BC? Crowdsourcing Surgical Improvement – The Results!
Annual SQAN Meeting
October 28 – 29, 2013
170 people gathered in Richmond on October 28, 2013, at the Surgical Quality Action Network’s annual meeting. The purpose? To talk about “What does it take to improve surgical care in BC?” The agenda? Unknown.
Most of the event’s content was crowdsourced. At the beginning of the day, participants were invited to deliver a one-minute pitch on a topic they wanted to talk about. Every pitch was given a session at the event, and all the participants could choose which ones to attend.
The day also featured a few sessions with pre-planned topics and was bookended by two fabulous keynote presentations. Here are resources, recordings and photos from the day.
You can view the final pitched agenda here.
The Checklist Paradox
Lorelei Lingard, PhD
Director of the Centre for Education Research & Innovation at The University of Western Ontario
Team communication is critical to patient safety and care quality. Surgical checklists reflect this knowledge. Unfortunately, surgical checklist performance is often reduced to a matter of ‘compliance’ rates in service of an audit culture. When this happens, the checklist initiative fails to acheive its intended purpose of collective competence in the operating room. We need a way forward from the current paradox of surgical team checklists.Download a copy of Lorelei’s PowerPoint presentation
Enhanced Recovery: Can we Really Have It All?
Olle Ljungqvist, MD PhD
Chairman of the International Enhanced Recovery After Surgery Society
Professor of Surgery at Orebro University Hospital, Sweden
Ron Collins, MD
Project Medical Director, Enhanced Recovery, Interior Health
Clinical Consultant, BCPSQC
Enhanced Recovery processes of care have repeatedly been demonstrated to improve surgical outcomes. Implementation of ERAS can be challenging. Recognizing some of the cultural barriers is important. We propose a data-rich, outcome driven process to support site specific implemen
tation of ERAS.
We had a number of pre-planned sessions for the day, you can download them below:
- What Does It Take to Provide Top Surgical Care in BC? – Doug Cochrane, MD, Chair BC Patient Safety & Quality Council
- What’s Cool About Normothermia? – Kelly Mayson, MD and Dan Werry, MSc (MD Candidate)
- Perioperative Improvement – Andy Hamilton
- Making Teamwork and Communication Practical – Doug Cochrane, MD and Allison Muniak, Human Factors Specialist
- Tough Stuff: Reducing Colorectal SSI – Tom Wallace, MD
After each crowdsourced session, participants contributed to a summary that predicted where the topic or issue would be in 2015, how it got there, and who made it happen. All participants voted on their top 3 topics.Download the crowdsourced session postcards
- Better Interpretation of Your Reports
Mike Martin, MD
Radiologist, St. Pauls Hospital, Providence Health
- Those Pesky Variables! Aiming for a Consistent Approach Across BC
BC SCR Working Group – Case Study
- How to Present Your Work Better – 201
Ajay Puri and Kimberly McKinley
- Your Story and TED Style Presentations
We are pleased to share with you the successful results of the Surgical Quality Action Network’s first ever studentships! This was a partnership between the UBC Department of Surgery, the Office of Pediatric Surgical Evaluation and Innovation (OPSEI) and the BC Patient Safety and Quality Council
- Evidence of inadequacy of 2 gram cefazolin for surgical prophylaxis in obese patients.
Seok Jae Bang, Tom Wallace, Julie Wooten, Cheryl Sibbelee, Kerry Cardwell, and Kecia Turunen. Royal Inland Hospital, Kamloops, Interior Health
- Post-operative Assessment of Practices Recognized to Prevent Hospital Acquired Pneumonia (HAP) for Patients Undergoing Colorectal Surgery
Kate Sullivan, Lori Hughes, Pawan Sindhar and Susann Camus. Surrey Memorial Hospital, Fraser Health.
- Achieving Surgical Excellence at Lions Gate Hospital – How does our practice align with best-practice guidelines in reduction of surgical site infections?
Patrick Toyota, Ramesh Sahjpaul, Irene Sui and Elena Murzello. Lion’s Gate Hospital, Vancouver Coastal Health
- The Perfect Count: Multidisciplinary Strategy for the Prevention of Retained Surgical Items
K. Ferguson, A. Bhatti, D. Duffy, K. Afshar. BC Children’s Hospital. Provincial Health Services Authority.
- An Overview of the Surgical Safety Checklist and its Common Pitfalls in Providence Health Care.
Trina Montemurro, Meghan MacLeod and Nima Moghaddam. Department of Anesthesia, St. Paul’s Hospital, Providence Health.
- Scrub Busters Project to Reduce Surgical Site Infections
Catherine Kruger, Kathleen Lomas and Susann Camus. Surrey Memorial Hospital, Fraser Health.
- SSI focused data collection in Hernias, Appendectomies, Cholecystectomies and Breast Surgeries.
Dimple Prakash, Bryan Wilkinson, Ronelle Gutierrez, Kirsten Shocohian and Lila Gottenbos. Delta Hospital, Abbotsford Hospital and Langley Memorial Hospital, Fraser Health.
- What are we doing about hypothermia?
Dan Werry, Neil Ramsay, and Kelly Mayson. Department of Anesthesiology, Pharmacology and Therapeutics. Vancouver General Hospital, Vancouver Coastal Health.