Designing and integrating a quality management program for patients undergoing head and neck resection with free-flap reconstruction

dc.contributor.authorDort, Joseph C
dc.contributor.authorSauro, Khara M
dc.contributor.authorSchrag, Christiaan
dc.contributor.authorChandarana, Shamir
dc.contributor.authorMatthews, Jennifer
dc.contributor.authorNakoneshny, Steven
dc.contributor.authorManoloto, Vida
dc.contributor.authorMiller, Tanya
dc.contributor.authorMcKenzie, C. D
dc.contributor.authorHart, Robert D
dc.contributor.authorMatthews, T. W
dc.date.accessioned2020-06-28T00:05:22Z
dc.date.available2020-06-28T00:05:22Z
dc.date.issued2020-06-23
dc.date.updated2020-06-28T00:05:21Z
dc.description.abstractAbstract Background Care pathways (CPs) offer a proven method of systematically improving patient care. CPs are particularly helpful in complex clinical conditions where variation in care is a problem such as patients undergoing major head and neck resection with free flap reconstruction. Although CPs have been used to manage this patient group, most CPs are implemented as part of relatively short-term quality improvement projects. This paper outlines a detailed methodology for designing and delivering a quality management program sustained for 9 years. Methods We describe a change management approach informed by Kotter’s “8 Step Process” that provided a useful framework to guide program development and implementation. We then provide a detailed, step by step description of how such a program can be implemented as well as a detailed summary of time and costs for design, implementation and sustainability phases. An approach to design and delivery of a measurement, audit and feedback system is also provided. Results We present a summary of resources needed to design and implement a head and neck surgery quality management program. The primary result of this study is a design for a sustainable quality management program that can be used to guide and improve care for patients undergoing major head and neck resection with free flap reconstruction. Conclusions A change management approach to design and delivery of a head and neck quality management program is practical and feasible.
dc.identifier.citationJournal of Otolaryngology - Head & Neck Surgery. 2020 Jun 23;49(1):41
dc.identifier.doihttps://doi.org/10.1186/s40463-020-00436-3
dc.identifier.urihttp://hdl.handle.net/1880/112227
dc.language.rfc3066en
dc.rights.holderThe Author(s)
dc.titleDesigning and integrating a quality management program for patients undergoing head and neck resection with free-flap reconstruction
dc.typeJournal Article
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