Ashley Vergis1,2, Garrett G R J Johnson3, Krista Hardy4, Jeffrey Gu5, Alistair Sharples6, Shannon Stogryn7. 1. Section of General Surgery, Department of Surgery, Rady College of Medicine, Max Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada. avergis@sbgh.mb.ca. 2. St. Boniface General Hospital, Z3039-409 Tache Avenue, Winnipeg, MB, R2H 2A6, Canada. avergis@sbgh.mb.ca. 3. General Surgery Residency and Clinician Investigator Program, University of Manitoba, Winnipeg, Canada. 4. Section of General Surgery, University of Manitoba, Winnipeg, MB, Canada. 5. Community Health and Epidemiology, Department of General Surgery, University of Saskatchewan, Saskatoon, SK, Canada. 6. University of Manitoba, Winnipeg, MB, Canada. 7. Division of General Surgery, University Health Network - Toronto Western Hospital, Toronto, ON, Canada.
Abstract
BACKGROUND: Synoptic operative reporting has been used as a solution to the poor quality of narrative reports. The aim of this study was to develop operative report quality indicators for the laparoscopic sleeve gastrectomy and to generate parameters by which these reports can be evaluated and improved. METHODS: A Delphi protocol was used to determine quality indicators for LSG. Bariatric surgeons across Canada were recruited along with key physician stakeholders to participate via a secure web-based platform. Transferrable consensus items for LSG from previously developed Roux-en-Y gastric bypass operative indictors were put forward for consideration. Participants also initially submitted potential QIs. These were grouped by theme. Items were rated on 5-point Likert scales in subsequent rounds. Scores of 70% or higher were used for inclusion and 30% or less denoted exclusion. Elements scoring 30% to 70% agreement were recirculated by runoff in subsequent rounds to generate the final list of quality indicators. RESULTS: Seven bariatric surgeons, representing all regions preforming LSG in Canada, were invited to participate in the Delphi group. Multidisciplinary invitees included one academic minimally invasive/acute care surgeon, one tertiary abdominal radiologist, and one academic gastroenterologist with bariatric expertise. Two rounds were required to achieve consensus. Both rounds achieved a 100% response (10/10). In round 1, forty items reached consensus. In Round 2, an additional 28 items reached consensus, with three items excluded, bringing the total number of quality indicators to 65. CONCLUSION: This study establishes consensus-derived multidisciplinary quality indicators for LSG operative reports. Application of these findings aims to advance the quality and completeness of operative reporting in LSG in order to improve communication of important surgical details and quality measures to the multidisciplinary team involved in bariatric surgery care.
BACKGROUND: Synoptic operative reporting has been used as a solution to the poor quality of narrative reports. The aim of this study was to develop operative report quality indicators for the laparoscopic sleeve gastrectomy and to generate parameters by which these reports can be evaluated and improved. METHODS: A Delphi protocol was used to determine quality indicators for LSG. Bariatric surgeons across Canada were recruited along with key physician stakeholders to participate via a secure web-based platform. Transferrable consensus items for LSG from previously developed Roux-en-Y gastric bypass operative indictors were put forward for consideration. Participants also initially submitted potential QIs. These were grouped by theme. Items were rated on 5-point Likert scales in subsequent rounds. Scores of 70% or higher were used for inclusion and 30% or less denoted exclusion. Elements scoring 30% to 70% agreement were recirculated by runoff in subsequent rounds to generate the final list of quality indicators. RESULTS: Seven bariatric surgeons, representing all regions preforming LSG in Canada, were invited to participate in the Delphi group. Multidisciplinary invitees included one academic minimally invasive/acute care surgeon, one tertiary abdominal radiologist, and one academic gastroenterologist with bariatric expertise. Two rounds were required to achieve consensus. Both rounds achieved a 100% response (10/10). In round 1, forty items reached consensus. In Round 2, an additional 28 items reached consensus, with three items excluded, bringing the total number of quality indicators to 65. CONCLUSION: This study establishes consensus-derived multidisciplinary quality indicators for LSG operative reports. Application of these findings aims to advance the quality and completeness of operative reporting in LSG in order to improve communication of important surgical details and quality measures to the multidisciplinary team involved in bariatric surgery care.
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: Laura Schneider; Yaron Shargall; Colin Schieman; Andrew J Seely; Sadeesh Srinathan; Richard A Malthaner; Andrew F Pierre; Najib Safieddine; Rosaire Vaillancourt; Madelaine Plourde; James Bond; Scott Johnson; Shona E Smith; Christian J Finley Journal: Ann Thorac Surg Date: 2014-02-25 Impact factor: 4.330