Can 360-Degree Reviews Help Surgeons? Evaluation of Multisource Feedback for Surgeons in a Multi-Institutional Quality Improvement Project.
Journal Article (Multicenter Study;Journal Article)
Background
Medical organizations have increased interest in identifying and improving behaviors that threaten team performance and patient safety. Three hundred and sixty degree evaluations of surgeons were performed at 8 academically affiliated hospitals with a common Code of Excellence. We evaluate participant perceptions and make recommendations for future use.Study design
Three hundred and eighty-five surgeons in a variety of specialties underwent 360-degree evaluations, with a median of 29 reviewers each (interquartile range 23 to 36). Beginning 6 months after evaluation, surgeons, department heads, and reviewers completed follow-up surveys evaluating accuracy of feedback, willingness to participate in repeat evaluations, and behavior change.Results
Survey response rate was 31% for surgeons (118 of 385), 59% for department heads (10 of 17), and 36% for reviewers (1,042 of 2,928). Eighty-seven percent of surgeons (95% CI, 75%-94%) agreed that reviewers provided accurate feedback. Similarly, 80% of department heads believed the feedback accurately reflected performance of surgeons within their department. Sixty percent of surgeon respondents (95% CI, 49%-75%) reported making changes to their practice based on feedback received. Seventy percent of reviewers (95% CI, 69%-74%) believed the evaluation process was valuable, with 82% (95% CI, 79%-84%) willing to participate in future 360-degree reviews. Thirty-two percent of reviewers (95% CI, 29%-35%) reported perceiving behavior change in surgeons.Conclusions
Three hundred and sixty degree evaluations can provide a practical, systematic, and subjectively accurate assessment of surgeon performance without undue reviewer burden. The process was found to result in beneficial behavior change, according to surgeons and their coworkers.Full Text
Duke Authors
Cited Authors
- Nurudeen, SM; Kwakye, G; Berry, WR; Chaikof, EL; Lillemoe, KD; Millham, F; Rubin, M; Schwaitzberg, S; Shamberger, RC; Zinner, MJ; Sato, L; Lipsitz, S; Gawande, AA; Haynes, AB
Published Date
- October 2015
Published In
Volume / Issue
- 221 / 4
Start / End Page
- 837 - 844
PubMed ID
- 26272014
Electronic International Standard Serial Number (EISSN)
- 1879-1190
International Standard Serial Number (ISSN)
- 1072-7515
Digital Object Identifier (DOI)
- 10.1016/j.jamcollsurg.2015.06.017
Language
- eng