Are your quality improvement projects effective? How a California ASC makes sure

ASCs constantly aim to provide better patient care with quality improvement projects. But how do they know if the changes make a difference?

Joel Brown, BSN, RN, clinical director of San Mateo (Calif.) Surgery Center, told Becker's ASC Review what his clinic does to monitor quality among patients and staff.

Note: This response was lightly edited for style.

Question: What are quality improvement studies you've done at your center?

Joel Brown: San Mateo Surgery Center tracks improvement activities through adverse events reporting with the online incident reports and complications reports. These reports reveal indicators for quality improvement projects; it also provides additional tracking and cross-referencing for recommending future projects (ones that would relate to incidents). This was previously completed by pen and paper with manual cross-referencing and records kept in a binder.

SMSC also tracks and monitors effectiveness and safety of its services through quality of care (post-op calls and incident/complication reports) as well as monthly, daily and peer-review audits (for both nurses and physicians). While the system contains data collection, the new centralized quality assurance/performance improvement program updates to accurately reflect the findings and tracks improvement projects completed.

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