Construction and application of a quality control and improvement system for metabolic and bariatric surgery in Beijing
10.3760/cma.j.cn112139-20250205-00052
- VernacularTitle:北京市减重与代谢外科质量控制和改进体系的构建和应用
- Author:
Peirong TIAN
1
;
Mengyi LI
;
Jingli LIU
;
Rixing BAI
;
Jingtao BI
;
Guanglong DONG
;
Yanmin DU
;
Jiagang HAN
;
Wei HAN
;
Yong JIANG
;
Yuanxin LI
;
Zhifei LI
;
Hongwei LIN
;
Diangang LIU
;
Yang LIU
;
Fanqiang MENG
;
Runhong NI
;
Jinghai SONG
;
Qiang XU
;
Wenmao YAN
;
Nengwei ZHANG
;
Chaohui ZHONG
;
Peng ZHANG
;
Zhongtao ZHANG
Author Information
1. 首都医科大学附属北京友谊医院普通外科中心 国家消化系统疾病临床医学研究中心 消化健康全国重点实验室，北京 100050
- Publication Type:Journal Article
- Keywords:
Obesity;
Surgical procedures, operative;
Metabolic and bariatric surgery;
Quality control;
Postoperative complications;
Medical quality control and evaluat
- From:
Chinese Journal of Surgery
2025;63(7):624-629
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To establish and assess the quality control and improvement system for metabolic and bariatric surgery in Beijing.Methods:Based on relevant documents from the National Health Commission and the Beijing Municipal Health Commission,and referencing the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) by the American Society for Metabolic and Bariatric Surgery,a quality control system was developed under the Beijing Quality Control and Improvement Center of Metabolic and Bariatric Surgery. The system incorporated on-site evaluations,data registration,and specialized training. From May to December 2023,on-site assessments were conducted at 21 hospitals in Beijing performing bariatric surgery,evaluating personnel qualifications,infrastructure,clinical workflows,and postoperative follow-up. A quality control database was created to collect real-time surgical data,and training was provided for data entry and professional skills. Assessment results were classified as excellent,qualified,or needing improvement,with rectification suggestions offered and follow-up visits conducted to track progress.Results:All 21 hospitals achieved a 100% compliance rate for surgical indications, 16 (76.2%) met standardized surgical operation criteria,and 14 (66.7%) had standardized postoperative management. However,only 5 (23.8%) achieved a 12-month postoperative follow-up rate of ≥60%,and 4 (19.1%) had established specialized databases. Key challenges included insufficient specialized staffing (19.1%), lack of multidisciplinary collaboration (47.6%), inadequate equipment (57.1%), and low follow-up rates (57.1%). The database collected data from over 2 000 patients across 111 fields. After rectification, specialized database coverage rose to 61.9% (13 hospitals). Multi-level training programs developed backbone physicians and specialized nurses,significantly addressing the shortage of specialized personnel.Conclusion:The quality control system established in this study,through the integration of on-site evaluation,data registration,and specialized training,effectively enhances the standardization of surgical practices and data management capabilities.
