title: Impact of the surgeon of the week system in an academic pediatric surgery practice.
abstract: BACKGROUND
  A pilot rounding surgeon of the week (SOW) program was implemented in our institution on July 2013 to improve patient care through focused attending rounds. The purpose of this study was to assess the impact of the SOW.
  
  
  METHODS
  We performed a descriptive retrospective study from a single, large-volume academic center. Data were collected from July to December 2013 (post-SOW) and compared to July to December 2012 (pre-SOW). Outcomes included patient safety (safety reports) and team productivity (billing data). We also evaluated nursing satisfaction through a 10-point Likert scale survey.
  
  
  RESULTS
  The total number of patient safety complaints decreased after the SOW (37 pre-SOW versus 27 post-SOW). Work relative value units (wRVUs) increased by 8% while nonoperative billing increased by 15%. Twenty of the daytime nursing staff completed the survey and overall satisfaction with the SOW was 8.3. Twelve were employed prior to the SOW and, when analyzed independently, the proportion of employees satisfied with nursing to physician communication was higher after the SOW (55% pre-SOW vs. 83% post-SOW, p=0.13) as was perception of parental satisfaction (33% vs. 75%, p=0.04).
  
  
  CONCLUSIONS
  The SOW program appears to improve patient safety as evidenced by a decrease in patient safety events. Additionally, the SOW program led to higher ancillary staffing satisfaction and perceived parental satisfaction without decreasing revenue. This study suggests that the SOW may be a beneficial program that could be considered at other large-volume institutions.
authors.affiliation: Texas Children's Hospital and Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, USA.
authors.forename: Paulette I
authors.initials: PI
authors.lastname: Abbas
authors.affiliation: Texas Children's Hospital and Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, USA.
authors.forename: Irving J
authors.initials: IJ
authors.lastname: Zamora
authors.affiliation: Texas Children's Hospital and Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, USA.
authors.forename: Simone C
authors.initials: SC
authors.lastname: Elder
authors.affiliation: Texas Children's Hospital and Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, USA.
authors.forename: Timothy C
authors.initials: TC
authors.lastname: Lee
authors.affiliation: Texas Children's Hospital and Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, USA. Electronic address: nuchtern@bcm.edu.
authors.forename: Jed G
authors.initials: JG
authors.lastname: Nuchtern
mesh_terms: D000046:Academic Medical Centers; D001291:Attitude of Health Personnel; D006776:Hospitals, Pediatric; D006801:Humans; D007400:Interprofessional Relations; D007588:Job Satisfaction; D000072222:Nurses, Pediatric; D061214:Patient Safety / Q000706:statistics & numerical data; D010372:Pediatrics; D015397:Program Evaluation; D058996:Quality Improvement; D012189:Retrospective Studies; D013043:Specialties, Surgical; D066231:Surgeons / Q000458:organization & administration*; D011795:Surveys and Questionnaires; D056164:Teaching Rounds / Q000458:organization & administration*; D013781:Texas
keywords: Attending surgeon; Nursing satisfaction; Patient safety; Rounding surgeon