Skip to main content

Hospital Standards to Promote Optimal Surgical Care of the Older Adult: A Report From the Coalition for Quality in Geriatric Surgery.

Publication ,  Journal Article
Berian, JR; Rosenthal, RA; Baker, TL; Coleman, J; Finlayson, E; Katlic, MR; Lagoo-Deenadayalan, SA; Tang, VL; Robinson, TN; Ko, CY; Russell, MM
Published in: Ann Surg
February 2018

OBJECTIVE: The aim of this study was to establish high-quality, valid standards to improve surgical care of the older adult. BACKGROUND: The aging population increases demand for high-quality surgical care. Building upon prior guidelines, quality indicators, and pilot projects, the Coalition for Quality in Geriatric Surgery (CQGS) includes 58 diverse stakeholder organizations committed to improving geriatric surgery. METHODS: Using a modified RAND-UCLA Appropriateness Methodology, 44 of 58 CQGS Stakeholders twice rated validity (primary outcome) and feasibility for 308 standards, ranging from goals and decision-making, pre-operative assessment and optimization, perioperative and postoperative care, to transitions of care beyond the acute care hospital. RESULTS: Three hundred six of 308 (99%) standards were rated as valid to improve quality of geriatric surgery. There were 4 sections. Section 1 included 157 (57%) standards and focused on goals and decision-making, preoperative optimization, and transitions into and out of the hospital. Section 2 included 84 (27.3%) standards focused on in-hospital care, across the immediate preoperative, intraoperative, and postoperative phases. Section 3 included 59 (19.1%) standards about program management, including personnel and committee structure, credentialing, and education. Section 4 included 8 (2.6%) standards establishing overarching concepts for data collection and patient follow-up. Two hundred ninety of 308 standards (94.2%) were rated as feasible; 18 (5.8%) were rated as uncertain in feasibility. CONCLUSIONS: CQGS Stakeholders rated the vast majority of standards of care as highly valid (99%) and feasible (94%) for improving the quality of surgical care provided to older adults. Future work will focus on a pilot phase to better understand and address challenges to implementation of the standards.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Ann Surg

DOI

EISSN

1528-1140

Publication Date

February 2018

Volume

267

Issue

2

Start / End Page

280 / 290

Location

United States

Related Subject Headings

  • United States
  • Surgical Procedures, Operative
  • Surgery
  • Stakeholder Participation
  • Reproducibility of Results
  • Quality Indicators, Health Care
  • Quality Improvement
  • Perioperative Care
  • Humans
  • Hospitals
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Berian, J. R., Rosenthal, R. A., Baker, T. L., Coleman, J., Finlayson, E., Katlic, M. R., … Russell, M. M. (2018). Hospital Standards to Promote Optimal Surgical Care of the Older Adult: A Report From the Coalition for Quality in Geriatric Surgery. Ann Surg, 267(2), 280–290. https://doi.org/10.1097/SLA.0000000000002185
Berian, Julia R., Ronnie A. Rosenthal, Tracey L. Baker, JoAnn Coleman, Emily Finlayson, Mark R. Katlic, Sandhya A. Lagoo-Deenadayalan, et al. “Hospital Standards to Promote Optimal Surgical Care of the Older Adult: A Report From the Coalition for Quality in Geriatric Surgery.Ann Surg 267, no. 2 (February 2018): 280–90. https://doi.org/10.1097/SLA.0000000000002185.
Berian JR, Rosenthal RA, Baker TL, Coleman J, Finlayson E, Katlic MR, et al. Hospital Standards to Promote Optimal Surgical Care of the Older Adult: A Report From the Coalition for Quality in Geriatric Surgery. Ann Surg. 2018 Feb;267(2):280–90.
Berian, Julia R., et al. “Hospital Standards to Promote Optimal Surgical Care of the Older Adult: A Report From the Coalition for Quality in Geriatric Surgery.Ann Surg, vol. 267, no. 2, Feb. 2018, pp. 280–90. Pubmed, doi:10.1097/SLA.0000000000002185.
Berian JR, Rosenthal RA, Baker TL, Coleman J, Finlayson E, Katlic MR, Lagoo-Deenadayalan SA, Tang VL, Robinson TN, Ko CY, Russell MM. Hospital Standards to Promote Optimal Surgical Care of the Older Adult: A Report From the Coalition for Quality in Geriatric Surgery. Ann Surg. 2018 Feb;267(2):280–290.

Published In

Ann Surg

DOI

EISSN

1528-1140

Publication Date

February 2018

Volume

267

Issue

2

Start / End Page

280 / 290

Location

United States

Related Subject Headings

  • United States
  • Surgical Procedures, Operative
  • Surgery
  • Stakeholder Participation
  • Reproducibility of Results
  • Quality Indicators, Health Care
  • Quality Improvement
  • Perioperative Care
  • Humans
  • Hospitals