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Objective: To design and implement a quality improvement (QI) programme in an academic department of ophthalmology.
Design: The six core competencies of the Accreditation Council for Graduate Medical Education serve as the model for this programme in an institutional practice. The authors review departmental rates of postoperative infections, unplanned reoperations, intraoperative complications, specific subspecialty postoperative complications and successes, and patient and staff compliments and complaints.
Results: The authors describe the structure and evolution of the QI programme in our ophthalmology department.
Conclusions: It is possible to implement a structured QI programme in an academic department of ophthalmology. With healthcare oversight increasing, physician self-monitoring of quality of care measures will become even more important.
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http://dx.doi.org/10.1136/bjophthalmol-2013-304069 | DOI Listing |
J Neurol
September 2025
College of Physical Education, China West Normal University, Nanchong, China.
Objective: This study aimed to evaluate the effects of various physical therapy interventions on fatigue and quality of life in patients with multiple sclerosis (MS) using a network meta-analysis of randomized controlled trials (RCTs).
Methods: A comprehensive literature search was conducted in PubMed, Web of Science, and Cochrane databases through April 1, 2025. Eligible RCTs compared different exercise interventions in MS patients, focusing on fatigue and quality of life outcomes.
J Neurosurg Sci
September 2025
Department of Neurological Surgery, University of Rochester Medical Center, Rochester, NY, USA.
Background: Symptomatic lumbar degenerative changes impact millions of patients per year. Recent technological advances have increased the usability of robot-assisted spinal fusions to treat this pathology. Although the safety profile of robotic systems appears favorable, the impact of robotics on surgical outcomes and efficiency remains unclear.
View Article and Find Full Text PDFLaryngoscope
September 2025
Department of Otolaryngology, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, USA.
Objective: To compare postoperative outcomes of flap maturation (FMT) and conventional tracheotomy techniques in pediatric patients.
Methods: A retrospective cohort study was performed using data from the American College of Surgeons National Surgical Quality Improvement Program Pediatric database (2020-2021). Pediatric patients ≤ 18 years who underwent FMT (CPT 31610) or conventional tracheotomy (CPT 31600, 31,601) were included.
J Am Coll Surg
September 2025
Division of Research and Optimal Patient Care, American College of Surgeons, Chicago, IL.
Background: The NSQIP Pediatric Semi-annual report (NSQIP Ped SAR) provides hospitals with risk-adjusted benchmarked results for comparative performance based on 1 year of data. These data are 6 to 18 months old due to requirements for data processing and modeling and this delay potentially limits its usefulness for hospital surgical quality improvement efforts. A timelier reporting mechanism is needed.
View Article and Find Full Text PDFNurs Crit Care
September 2025
Department of Intensive Care Medicine, "La Paz" University Hospital, Madrid, Spain.
Background: The healthcare sector is a significant producer of greenhouse gas emissions, with intensive care units (ICUs) being major contributors. The environmental impact of medical waste largely depends on disposal methods; proper segregation can enhance recycling potential.
Local Problem: High variability in waste segregation and excessive linen consumption in the burn and polytrauma ICU.