ACS will recruit 750 hospitals for program to lower costs and improve safety for patients

February 06, 2017

CHICAGO ( February 6, 2017): In collaboration with the Johns Hopkins Medicine Armstrong Institute for Patient Safety and Quality, the American College of Surgeons (ACS) has launched a new multimillion dollar surgical quality improvement initiative funded and guided by the Agency for Healthcare Research and Quality (AHRQ). This new program will enable hospitals across the U.S. to implement Enhanced Recovery After Surgery (ERAS) protocols, which have been shown to lower costs, improve safety, and shorten recovery times for surgical patients.

This new initiative, the AHRQ Safety Program for Enhanced Recovery After Surgery, seeks to improve surgical patient outcomes by increasing the implementation of ERAS practices in participating hospitals through the use of an adaption of AHRQ's Comprehensive Unit-based Safety Program (CUSP). Earlier this month, ACS announced plans to recruit 750 hospitals to participate in the program.

The AHRQ ERAS program will be implemented as an integrated combination of clinical and hospital-team cultural interventions in all participating hospitals. Originally introduced and successfully used in European hospitals, ERAS is a compilation of preoperative, intraoperative, and postoperative practices that have been shown to decrease surgical patients' complications and speed their recovery, as shown through numerous published reports in the medical literature.

Created by Armstrong Institute patient safety experts in 2001, AHRQ's CUSP is a five-step culture-change intervention that engages frontline health care staff to identify and mitigate patient safety hazards in their care settings. Through CUSP, staff receives education, an improvement toolkit, and support from a senior executive to help overcome any barriers they may face. Among other contributions, Armstrong Institute researchers will adapt CUSP--originally created for individual clinical units--for use across the continuum of surgery-related services.

Through its Division of Research and Optimal Patient Care, ACS will recruit hospitals over time to implement this program. Project efforts will initially focus on abdominal operations in colorectal surgery. However, the project will expand to introduce enhanced recovery protocols across four other cohorts over a five-year period in bariatric surgery, orthopaedic surgery, gynecology, and emergency general surgery.

Participating hospitals will work to improve surgical patient outcomes, reduce length of stay, and prevent complications; increasing reliability and standardization of care; improving efficiency; and improving surgical teamwork and the hospital's surgical care culture. Participating hospitals will also receive a ready-to-use protocol, access to education materials on how to implement the protocol, access to experts in performance improvement and education who will help them troubleshoot as they implement, and inclusion in a community of surgeons/providers rolling out the same protocol.

"We know that patients usually fare better when they recover quickly from operations," said Clifford Y. Ko, MD, FACS, Director of the ACS Division of Research and Optimal Patient Care. "The AHRQ Safety Program for Enhanced Recovery After Surgery will set the standard and provide a framework for hospitals across the nation to successfully carry out a program that delivers better outcomes for surgical patients. Equally important, the patient will remain at the center of care throughout the entire process."

In addition to faster recovery times, surgical patients will benefit from safer surgery practices and an overall better patient experience when they undergo operations in participating hospitals.

"This surgical patient safety program is aligned to our organizational mission of improving the quality of care for surgical patients," said ACS Executive Director David B. Hoyt, MD, FACS. "This initiative will be transformative in American surgery, with surgical patients gaining enormous benefits."
For further information, contact:

AHRQ Safety Program for Enhanced Recovery After Surgery is funded by the Agency for Healthcare Research and Quality, Contract # HHSP233201500020I.

About the American College of Surgeons

The American College of Surgeons is a scientific and educational organization of surgeons that was founded in 1913 to raise the standards of surgical practice and improve the quality of care for surgical patients. The College is dedicated to the ethical and competent practice of surgery. Its achievements have significantly influenced the course of scientific surgery in America and have established it as an important advocate for all surgical patients. The College has more than 80,000 members and is the largest organization of surgeons in the world. For more information, visit (.)

American College of Surgeons

Related Patient Safety Articles from Brightsurf:

Telehealth scales up during the pandemic to offer patient care in the safety of the home
The Medical University of South Carolina rapidly mobilized a four-pronged initiative to ensure continuity of care for patients with suspected or confirmed COVID-19 and continued ambulatory care for all other patients, reports a team of telehealth and bioinformatics experts in the Journal of the American Medical Informatics Association.

Universal preoperative COVID-19 screening improves pediatric patient safety
Universally screening pediatric patients for COVID-19 before they undergo surgical procedures has allowed hospitals to improve safety by identifying all patients who test positive for the virus, half of whom have no symptoms, according to new research led by Children's Hospital of Philadelphia (CHOP).

Nurses sleep less before a scheduled shift, hindering patient care and safety
Nurses sleep nearly an hour and a half less before work days compared to days off, which hurts patient care and safety, finds a new study by researchers at NYU Rory Meyers College of Nursing.

EHR medication lists lack accuracy, may threaten patient safety
Almost 1 in 4 medications were mismatched between the clinician's notes and the formal medication list in a patient's electronic medical record, according to study of ophthalmic medications by Kellogg Eye Center.

Using facial recognition technology to continuously monitor patient safety in the ICU
A team of Japanese scientists has used facial recognition technology to develop an automated system that can predict when patients in the intensive care unit (ICU) are at high risk of unsafe behaviour such as accidentally removing their breathing tube, with moderate (75%) accuracy.

Speaking up for patient safety
In a new study, a team led by clinician-researchers at Beth Israel Deaconess Medical Center (BIDMC) surveyed family members and patients with recent ICU experiences about their willingness to speak up about care concerns to medical providers.

Serious mortuary errors could be reduced by applying common patient safety protocols
New research investigating serious incidents occurring in the management of patient remains after their death concludes that safe mortuary care may be improved by applying lessons learned from existing patient safety work.

Listening to the patient's voice: A more patient-centered approach to medication safety
Involving the patient is critical for improving medication safety according to Regenstrief Institute researcher and Indiana University School of Medicine assistant professor of medicine Joy L.

Definitive global transfusion study supports patient safety, positive patient outcomes
Lower thresholds for blood transfusions during cardiac surgery have proven to be safe and provide good patient outcomes compared to traditional thresholds, according to the largest research study ever performed in this area.

ACP says patient safety must be improved in office-based practice setting
More needs to be done to improve patient safety in the outpatient setting, said the American College of Physicians (ACP) in a new policy paper released today.

Read More: Patient Safety News and Patient Safety Current Events is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to