Quality and Safety in Neurosurgery

Table of Contents

Section I. The Importance of Quality and Safety in Neurosurgery 1. The many perspectives of quality and safety in neurosurgery 2. The history and future of quality and safety in neurosurgery 3. Clinical research in quality improvement: Complimentary approaches to improving neurosurgical practice

Section II. Measuring and Improving Performance 4. On developing the tools and metrics for a neurosurgical quality program 5. The role of clinical registries in health care 6. Measuring value of healthcare: The importance and challenges of measuring true cost 7. Teams, competence and safety in surgery 8. Evidenced-based practice of neurosurgery: Implications for quality and safety 9. The physician handoff and its role in quality and safety 

Section III. The Practice of Quality and Safety in Neurosurgery 10. Improving operating room safety 11. Using multi-center clinical registries to improve outcomes 12. Improving efficiency and mapping surgical procedures using lean methods 13. Quality efforts for reducing mortality in neurosurgery 14. Reducing readmissions 15. Improving outcomes: Big data and predictive analytics 16. Improving performance by improving education 17. Improving outcomes with subspecialization and regionalization 18. Quality of care and outcomes in pediatric neurosurgery: Incorporating evidence-based practice 19. Eliminating unnecessary diagnostic imaging and labs 20. Creating national practice standards through collaboration 21. Use of risk model for assessment of resident perception of surgical complexity and evaluation of procedural competence 22. Use of physical education and nutrition program to improve outcomes

Authors

Daniel J. Guillaume Chief, Pediatric Neurosurgery, Masonic Children's Hospital, Associate Professor, Department of Neurosurgery, University of Minnesota, Minneapolis, MN, USA. Dr. Guillaume is the quality and safety lead for the Department of Neurosurgery at the University of Minnesota. He is also Chief of Pediatric Neurosurgery at the University of Minnesota Masonic Children's Hospital and Director of the Division of Pediatric Neurosurgery for the Department of Neurosurgery. His clinical and research interests include treatments of pediatric brain and spinal tumors, minimally invasive surgical approaches, management of complex hydrocephalus, and surgery of the anterior and posterior cranial base. Dr. Guillaume is also co-director for the NeuroSafe symposium series focused on quality and safety in neurosurgery with Dr. Hunt. Matthew A. Hunt Associate Professor, Resident Program Director, Department of Neurosurgery, University of Minnesota, Minneapolis, MN, USA. Dr. Hunt is an Associate Professor in the Department of Neurosurgery at the University of Minnesota. He is a Neurosurgeon, at the University of Minnesota Medical Center, Fairview. He is also the residency program director, helping to train the next generation of neurosurgical leaders. Dr. Hunt is the course director for the NeuroSafe symposium series focused on quality and safety in neurosurgery. His research interests involve novel treatments including immunotherapy for brain tumors and treating pet dogs with brain tumors as a model for treatment of human brain tumors. He collaborates with other researchers at the U of M to develop innovative treatments for patients with gliomas and meningiomas. His clinical interests include brain tumors and complex spinal surgery. He trained at Oregon Health & Science University and did fellowships there and at the National Hospital for Neurology and Neurosurgery in London, UK.