• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • COVID-19 Annoucements
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2023 Scientific Session Call For Abstracts
      • 2023 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Past Meetings
      • SAGES 2022
      • SAGES 2021
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Video Based Assessments (VBA)
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy-Coming Soon!
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • Store
    • “Unofficial” Logo Products
  • Log In

PLAN-DO-CHECK-ACT (PDCA) APPROACH TO IMPROVE QUALITY OF CARE FOR SURGICAL PATIENT: A RANDOMIZED CONTROLLED TRIAL

Hemanga Bhattacharjee, Pritam Mandal, Virinder Bansal, Anu Sachdeva, Mamta Sood, Ashok Deorari. All India Institute of Medical Sciences

Introduction: Adequate and relevant preoperative information is pertinent for patient satisfaction, thus for quality of care. The spectrum of information patients desire may vary according to their socio-economic or cultural background. Hence, patients’ participation in the development of a preoperative information module  is important in quality improvement initiative. 

Plan-Do- Check-Act (PDCA) cycles and Focussed Group Discussion (FGD) are important aspects of Quality Improvement (QI) initiative. Herein, we have described the development of a module for preoperative information and a randomised controlled trial to evaluate the effectiveness of this module. 

Materials and Methods: The study was conducted in a public funded teaching hospital catering to a population of middle and low socio economic strata. Institute’s ethics committee approved the study protocol.  The study was conducted in two phases i.e. Phase 1: Development of the QI module and Phase 2: Evaluation of the module by a randomized study. Patients undergoing laparoscopic cholecystectomy and laparoscopic groin hernia surgery were enrolled. 

Phase 1: Researchers did the root cause analysis, interviewed thirty patients and prepared the first draft of the QI module as a leaflet. Module was then implemented in 30 patients. Patients’ satisfaction score (PSS) was recorded on a standardized validated proforma.  Six randomly selected patients from this group were then called for FGD. QI module was then improvised based on patients’ feedback during FGD. PDCA cycles were repeated and additional information was added to the QI module based on FGD feedback. Post 3rd PDCA, PSS reached more than 90% and the QI module, comprising scientific, social and logistical information on the disease and the treatment process, was standardized. 

Phase 2: Sixty patients were randomized. Control group (n=30) received spoken information, as done in conventional protocol; study group (n=30) received spoken and written information in the form of QI module (leaflet) in addition to conventional protocol. WHOQOL BREF questionnaire was used for assessment of quality of life. Patients’ satisfaction was analyzed using PSS. 

Results: The demographic profile and preoperativeWHOQOL BREF scores were identical between the two groups.In post-operative period, all domains of WHOQOL BREF showed improvement, however, the improvement in psychological health and overall domain was statistically significant in study group as compared to control group (p=0.002 and 0.01 respectively).  The overall quality of life, satisfaction with health and Patients Satisfaction Score (PSS) were significantly more in study group (p=0.02,0.005 and 0.001 respectively). 

Conclusion: Patients' satisfaction and perception of care can be improved by preoperative QI module.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 94957

Program Number: P627

Presentation Session: Poster Session (Non CME)

Presentation Type: Poster

View this Poster

214

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

« Return to SAGES 2019 abstract archive

Our Mission

Innovate, educate and collaborate to improve patient care.

Recently, on SAGES…

Critical View of Safety (CVS) Challenge QR Code

The SAGES Critical View of Safety Challenge – Donate Your Lap Chole Videos!

The Society of American Gastrointestinal and Endoscopic Surgeons is hosting the first Artificial Intelligence Data Challenge conducted by surgeons. The aim of this challenge is to generate a large and diverse dataset of laparoscopic cholecystectomy videos, annotated with respect to the subcomponents of the Critical View of Safety (CVS). Computer scientists from all over the […]

Respuesta de SAGES al Estudio NordICC sobre el beneficio de las colonoscopias de detección

SAGES desea aclarar los resultados del estudio NordICC y colocarlos en contexto de los esfuerzos de varias agencias nacionales para reducir el riesgo de cáncer colorrectal – la segunda causa de muerte por cáncer más frecuente en los Estados Unidos-, mediante la promoción de la detección y tratamiento oportuno de las lesiones.

SAGES Response to NordICC Study Regarding Benefit of Screening Colonoscopies

The NordICC Study recently published in The New England Journal of Medicine and widely reported on by media outlets has raised questions regarding the benefit of screening colonoscopy in lowering the risk of colorectal cancer and cancer-related deaths among otherwise healthy and symptom-free men and women aged 55 to 64. Provocative headlines and commentaries have […]

Contact SAGES

Society of American Gastrointestinal and Endoscopic Surgeons
11300 W. Olympic Blvd Suite 600
Los Angeles, CA 90064 USA
webmaster@sages.org
Tel: (310) 437-0544

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2023 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons