Vijaya T. Daniel, MD, MPH, Angela M. Ingraham, MD, Jasmine A

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Presentation transcript:

Variations in the Delivery of Emergency General Surgery Care in the Era of Acute Care Surgery Vijaya T. Daniel, MD, MPH, Angela M. Ingraham, MD, Jasmine A. Khubchandani, MD, Didem Ayturk, MS, Catarina I. Kiefe, MD, PhD, Heena P. Santry, MD, MS Joint Commission Journal on Quality and Patient Safety Volume 45, Issue 1, Pages 14-23 (January 2019) DOI: 10.1016/j.jcjq.2018.04.012 Copyright © 2018 The Joint Commission Terms and Conditions

Figure 1 The algorithm for selecting single survey respondents consisted of targeting the “primary surgeon” at each hospital (the senior-most surgeon responsible for oversight of EGS care, based on his or her official title). If a primary surgeon was not available, a secondary surgeon (the next most senior surgeon at the hospital) or the chief medical officer (CMO) for hospitals with only a single surgeon was targeted. Joint Commission Journal on Quality and Patient Safety 2019 45, 14-23DOI: (10.1016/j.jcjq.2018.04.012) Copyright © 2018 The Joint Commission Terms and Conditions

Figure 2 In the context of the Chaudoir et al. framework, the main drivers of outcomes for the acute care surgery (ACS) model of care are the organizational (harnessing resources in the face of rigid hospital infrastructures) and provider-level (establishing a dedicated surgical team) factors optimized by the innovation of ACS. The light gray box represents currently nonexistent policies, procedures, and guidelines; the dark gray box represents nonmodifiable patient-level factors. EGS, emergency general surgery. Adapted from Chaudoir SR, Dugan AG, Barr CH. Measuring factors affecting implementation of health innovations: a systematic review of structural, organizational, provider, patient, and innovation level measures. Implement Sci. 2013 Feb 17;8:22. Joint Commission Journal on Quality and Patient Safety 2019 45, 14-23DOI: (10.1016/j.jcjq.2018.04.012) Copyright © 2018 The Joint Commission Terms and Conditions