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Can 360-Degree Reviews Help Surgeons? Evaluation of Multisource Feedback for Surgeons in a Multi-Institutional Quality Improvement Project.

Publication ,  Journal Article
Nurudeen, SM; Kwakye, G; Berry, WR; Chaikof, EL; Lillemoe, KD; Millham, F; Rubin, M; Schwaitzberg, S; Shamberger, RC; Zinner, MJ; Sato, L ...
Published in: Journal of the American College of Surgeons
October 2015

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.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.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.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.

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Published In

Journal of the American College of Surgeons

DOI

EISSN

1879-1190

ISSN

1072-7515

Publication Date

October 2015

Volume

221

Issue

4

Start / End Page

837 / 844

Related Subject Headings

  • Surgery
  • Surgeons
  • Quality Improvement
  • Massachusetts
  • Male
  • Humans
  • Female
  • Feedback
  • Clinical Competence
  • Attitude of Health Personnel
 

Citation

APA
Chicago
ICMJE
MLA
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Nurudeen, S. M., Kwakye, G., Berry, W. R., Chaikof, E. L., Lillemoe, K. D., Millham, F., … Haynes, A. B. (2015). Can 360-Degree Reviews Help Surgeons? Evaluation of Multisource Feedback for Surgeons in a Multi-Institutional Quality Improvement Project. Journal of the American College of Surgeons, 221(4), 837–844. https://doi.org/10.1016/j.jamcollsurg.2015.06.017
Nurudeen, Suliat M., Gifty Kwakye, William R. Berry, Elliot L. Chaikof, Keith D. Lillemoe, Frederick Millham, Marc Rubin, et al. “Can 360-Degree Reviews Help Surgeons? Evaluation of Multisource Feedback for Surgeons in a Multi-Institutional Quality Improvement Project.Journal of the American College of Surgeons 221, no. 4 (October 2015): 837–44. https://doi.org/10.1016/j.jamcollsurg.2015.06.017.
Nurudeen SM, Kwakye G, Berry WR, Chaikof EL, Lillemoe KD, Millham F, et al. Can 360-Degree Reviews Help Surgeons? Evaluation of Multisource Feedback for Surgeons in a Multi-Institutional Quality Improvement Project. Journal of the American College of Surgeons. 2015 Oct;221(4):837–44.
Nurudeen, Suliat M., et al. “Can 360-Degree Reviews Help Surgeons? Evaluation of Multisource Feedback for Surgeons in a Multi-Institutional Quality Improvement Project.Journal of the American College of Surgeons, vol. 221, no. 4, Oct. 2015, pp. 837–44. Epmc, doi:10.1016/j.jamcollsurg.2015.06.017.
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. Can 360-Degree Reviews Help Surgeons? Evaluation of Multisource Feedback for Surgeons in a Multi-Institutional Quality Improvement Project. Journal of the American College of Surgeons. 2015 Oct;221(4):837–844.
Journal cover image

Published In

Journal of the American College of Surgeons

DOI

EISSN

1879-1190

ISSN

1072-7515

Publication Date

October 2015

Volume

221

Issue

4

Start / End Page

837 / 844

Related Subject Headings

  • Surgery
  • Surgeons
  • Quality Improvement
  • Massachusetts
  • Male
  • Humans
  • Female
  • Feedback
  • Clinical Competence
  • Attitude of Health Personnel