Evaluating the effectiveness of surgical quality and safety improvement initiatives using interrupted time series analysis
10.3969/j.issn.1671-332X.2025.07.011
- VernacularTitle:基于中断时间序列分析的手术质量安全改进效果研究
- Author:
Xiaoyu YANG
1
;
Weiping WANG
1
;
Hongtao WANG
1
;
Yi LIU
1
;
Jiameng ZHOU
1
;
Zehua MA
1
;
Xibei ZHOU
1
;
Bo ZHANG
1
Author Information
1. 天津医科大学肿瘤医院//国家恶性肿瘤临床医学研究中心//天津市恶性肿瘤临床医学研究中心//天津市肿瘤防治重点实验室 天津 300060
- Publication Type:Journal Article
- Keywords:
Healthcare quality;
Surgical management;
Surgical quality and safety improvement initiative;
Interrupted time series analysis
- From:
Modern Hospital
2025;25(7):1024-1026,1031
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the impact of the"Surgical Quality and Safety Improvement Initiative"by analyzing changes in surgical quality and safety indicators at a tertiary hospital in Tianjin,and to provide policy recommendations for further enhancing surgical quality improvement pathways.Methods Surgical quality and safety monitoring data from 2022 to 2024 were collected from a tertiary hospital in Tianjin.Interrupted time series analysis(ITSA)was employed to assess the effects of im-provement measures on surgical quality and safety outcomes.Results Following implementation of the initiative,perioperative complication rates showed a declining trend(β3=-0.051,P＜0.05),unplanned reoperation rates significantly decreased(β2=-0.121,P＜0.05),and surgical mortality rates markedly declined(β2=-0.086,P＜0.05),indicating that the man-agement measures effectively improved hospital surgical quality and safety over the study period.Conclusion The"Surgical Quality and Safety Improvement Initiative,"which established a comprehensive,staff-involved pathway for continuous surgical quality improvement,successfully enhanced surgical quality and safety.Recommendations include emphasizing frontline staff par-ticipation in quality management,strengthening data monitoring and feedback systems,implementing reasonable performance in-centives to motivate systemic improvement,and leveraging health information technology to support refined surgical management.
