Shannon Stogryn1, Jason Park1, Krista Hardy1, Ashley Vergis2. 1. Department of Surgery, Section of General Surgery, University of Manitoba, Winnipeg, Canada. 2. Department of Surgery, Section of General Surgery, University of Manitoba, Winnipeg, Canada. Electronic address: avergis@sbgh.mb.ca.
Abstract
BACKGROUND: Synoptic operative reporting is a solution to the poor quality of narrative reports. OBJECTIVE: To develop operative report quality indicators (QI) for laparoscopic Roux-en-Y gastric bypass (LRYGB) to generate validated parameters by which these reports can be evaluated and improved. SETTING: University hospital in Canada. METHODS: A Delphi protocol was used to determine QIs for LRYGB reporting. Bariatric surgeons across Canada were recruited along with key physician stakeholders to participate via a secure web-based platform. Participants initially submitted potential QIs. These were grouped by theme. Items were rated on 9-point Likert scales in subsequent rounds. Scores of 70% or greater were used for inclusion consensus, and 30% or less denoted exclusion. Elements scoring 30% to 70% were recirculated by runoff in subsequent rounds to generate the final list of QIs. RESULTS: Four community and 4 academic bariatric surgeons were invited, representing all provinces performing LRYGB. The 4 multidisciplinary invitees included 1 minimally invasive/acute care surgeon, 1 tertiary abdominal radiologist, 1 gastroenterologist performing advanced endoscopy, and 1 general surgeon with expertise in synoptic reporting. Round 1 achieved an 83.3% (10/12) response and identified 91 potential items for consideration. Round 2 had a 100% response, and 69 items reached inclusion consensus. The third round achieved a 100% response and resulted in 75 QIs reaching final inclusion consensus. CONCLUSION: This study established consensus-derived multidisciplinary QIs for LRYGB operative reports. This will allow further assessment of the quality of narrative reports and afford the development of a synoptic operative report that may ameliorate identified deficiencies.
BACKGROUND: Synoptic operative reporting is a solution to the poor quality of narrative reports. OBJECTIVE: To develop operative report quality indicators (QI) for laparoscopic Roux-en-Y gastric bypass (LRYGB) to generate validated parameters by which these reports can be evaluated and improved. SETTING: University hospital in Canada. METHODS: A Delphi protocol was used to determine QIs for LRYGB reporting. Bariatric surgeons across Canada were recruited along with key physician stakeholders to participate via a secure web-based platform. Participants initially submitted potential QIs. These were grouped by theme. Items were rated on 9-point Likert scales in subsequent rounds. Scores of 70% or greater were used for inclusion consensus, and 30% or less denoted exclusion. Elements scoring 30% to 70% were recirculated by runoff in subsequent rounds to generate the final list of QIs. RESULTS: Four community and 4 academic bariatric surgeons were invited, representing all provinces performing LRYGB. The 4 multidisciplinary invitees included 1 minimally invasive/acute care surgeon, 1 tertiary abdominal radiologist, 1 gastroenterologist performing advanced endoscopy, and 1 general surgeon with expertise in synoptic reporting. Round 1 achieved an 83.3% (10/12) response and identified 91 potential items for consideration. Round 2 had a 100% response, and 69 items reached inclusion consensus. The third round achieved a 100% response and resulted in 75 QIs reaching final inclusion consensus. CONCLUSION: This study established consensus-derived multidisciplinary QIs for LRYGB operative reports. This will allow further assessment of the quality of narrative reports and afford the development of a synoptic operative report that may ameliorate identified deficiencies.
Authors: Shannon E Stogryn; Krista Hardy; Michael J Mullan; Jason Park; Christopher Andrew; Ashley Vergis Journal: Surg Endosc Date: 2017-09-15 Impact factor: 4.584
Authors: Garrett G R J Johnson; Harminder Singh; Ashley Vergis; Jason Park; Olivia Hershorn; David Hochman; Ramzi M Helewa Journal: Surg Endosc Date: 2021-06-08 Impact factor: 4.584