Identifying the fundamental structures and processes of care contributing to emergency general surgery quality using a mixed-methods Donabedian approach.

ABSTRACT:

Background

Acute Care Surgery (ACS) was developed as a structured, team-based approach to providing round-the-clock emergency general surgery (EGS) care for adult patients needing treatment for diseases such as cholecystitis, gastrointestinal perforation, and necrotizing fasciitis. Lacking any prior evidence on optimizing outcomes for EGS patients, current implementation of ACS models has been idiosyncratic. We sought to use a Donabedian approach to elucidate potential EGS structures and processes that might be associated with improved outcomes as an initial step in designing the optimal model of ACS care for EGS patients.

Methods

We developed and implemented a national survey of hospital-level EGS structures and processes by surveying surgeons or chief medical officers rega

SUBMITTER: Santry HP 

PROVIDER: S-EPMC7532630 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature