title: Enabling front line-driven perioperative quality improvement through organizational infrastructure built around the Comprehensive Unit Based Safety Program.
abstract: Many surgical departments are interested in quality improvement (QI). For sustainable success, front-line involvement is crucial for improving culture. Without improved culture, any QI strategy will be a struggle. Designing an infrastructure to support these principles is important. We describe our process creating this infrastructure, the multidisciplinary teams that drive change in our department and some of the processes and outcomes we have been able to improve.
authors.affiliation: From the Department of Surgery, University of Ottawa, Ottawa, Ont. (Moloo, Brooke, Sundaresan, Skinner, Berg, Doering, Worthington, Forster, Schramm); and the Ottawa Hospital Research Institute, Ottawa, Ont. (Moloo, Schramm).
authors.forename: Husein
authors.initials: H
authors.lastname: Moloo
authors.affiliation: From the Department of Surgery, University of Ottawa, Ottawa, Ont. (Moloo, Brooke, Sundaresan, Skinner, Berg, Doering, Worthington, Forster, Schramm); and the Ottawa Hospital Research Institute, Ottawa, Ont. (Moloo, Schramm).
authors.forename: Rebecca
authors.initials: R
authors.lastname: Brooke
authors.affiliation: From the Department of Surgery, University of Ottawa, Ottawa, Ont. (Moloo, Brooke, Sundaresan, Skinner, Berg, Doering, Worthington, Forster, Schramm); and the Ottawa Hospital Research Institute, Ottawa, Ont. (Moloo, Schramm).
authors.forename: Sudhir
authors.initials: S
authors.lastname: Sundaresan
authors.affiliation: From the Department of Surgery, University of Ottawa, Ottawa, Ont. (Moloo, Brooke, Sundaresan, Skinner, Berg, Doering, Worthington, Forster, Schramm); and the Ottawa Hospital Research Institute, Ottawa, Ont. (Moloo, Schramm).
authors.forename: Brigitte
authors.initials: B
authors.lastname: Skinner
authors.affiliation: From the Department of Surgery, University of Ottawa, Ottawa, Ont. (Moloo, Brooke, Sundaresan, Skinner, Berg, Doering, Worthington, Forster, Schramm); and the Ottawa Hospital Research Institute, Ottawa, Ont. (Moloo, Schramm).
authors.forename: Alan
authors.initials: A
authors.lastname: Berg
authors.affiliation: From the Department of Surgery, University of Ottawa, Ottawa, Ont. (Moloo, Brooke, Sundaresan, Skinner, Berg, Doering, Worthington, Forster, Schramm); and the Ottawa Hospital Research Institute, Ottawa, Ont. (Moloo, Schramm).
authors.forename: Paula
authors.initials: P
authors.lastname: Doering
authors.affiliation: From the Department of Surgery, University of Ottawa, Ottawa, Ont. (Moloo, Brooke, Sundaresan, Skinner, Berg, Doering, Worthington, Forster, Schramm); and the Ottawa Hospital Research Institute, Ottawa, Ont. (Moloo, Schramm).
authors.forename: James
authors.initials: J
authors.lastname: Worthington
authors.affiliation: From the Department of Surgery, University of Ottawa, Ottawa, Ont. (Moloo, Brooke, Sundaresan, Skinner, Berg, Doering, Worthington, Forster, Schramm); and the Ottawa Hospital Research Institute, Ottawa, Ont. (Moloo, Schramm).
authors.forename: Alan
authors.initials: A
authors.lastname: Forster
authors.affiliation: From the Department of Surgery, University of Ottawa, Ottawa, Ont. (Moloo, Brooke, Sundaresan, Skinner, Berg, Doering, Worthington, Forster, Schramm); and the Ottawa Hospital Research Institute, Ottawa, Ont. (Moloo, Schramm).
authors.forename: David
authors.initials: D
authors.lastname: Schramm
mesh_terms: D017598:Efficiency, Organizational / Q000592:standards; D006801:Humans; D061214:Patient Safety / Q000592:standards*; D058996:Quality Improvement / Q000458:organization & administration*; D013503:Surgery Department, Hospital / Q000458:organization & administration*