Raising the quality of XXXX care: Is there a need?

@entity1 @entity51 @entity547
INTRODUCTION: With a focus on raising the quality of @entity547 care through creation of educational programs, SAGES formed the Hernia Task Force (HTF). This study used needs assessment survey to target opportunities for improving surgical training and thus @entity1 outcomes and experience. METHODS: This qualitative study included structured interviews and online surveys of key stakeholders: HTF members, surgeons, nurses, @entity1 , hospital administrators, healthcare payers and medical suppliers. Questions included perceptions of recurrence and complication rates, their etiologies, perceived @entity51 care and the most effective and training modalities. RESULTS: A total of 841 @entity1 included 665 surgeons, 66 @entity1 care team members, 12 hospital administrators and 14 medical supply providers. Assessment of technical approach revealed that nearly 26  % of surgeons apply the same, limited range of techniques to all @entity1 without evaluation of @entity1 -specific factors. The majority (71  %) of surgeon respondents related @entity547 recurrence rates nearing 25  % or more. HTF members implicated surgeon factors (deficits in knowledge/technique, etc.) as primary determinants of recurrences, whereas nurses, medical supply providers and hospital administrators implicated @entity1 health factors. Surgeons preferred attending conferences (82  %), reading periodicals/publications (71  %), watching videos (59  %) and communicating with peers (57  %) for learning and skill improvement. Topics of the greatest interest were advanced techniques for @entity547 repairs (71  %), preoperative and intraoperative decision making (56  %) and @entity1 outcomes (64  %). Eighty-six percent of nurses felt that there was room for improvement in @entity547 @entity1 safety and teamwork in the OR. Only 24  % believed that the @entity1 had adequate preoperative education. CONCLUSIONS: Major reported deficits in @entity547 care include: lack of standardization in training and care, "one size fits all" technical approach and inadequate @entity1 follow-up/outcome measures. There is a need for a comprehensive, flexible and tailored educational program to equip surgeons and their teams to raise the quality of @entity547 care and bring greater value to their @entity1 .
