A Canadian strategy for surgical quality improvement

A Canadian strategy for surgical quality improvement

Can J Surg 2019;62(6):E16-E18 | PDF

David R. Urbach, MD; Ahmer A. Karimuddin, MD; Alice Wei, MD; Brent P. Zabolotny, MD; Guylaine Lefebvre, MD; Mark Walsh, MD; Morad Hameed, MD; Paola Fata, MD; Prosanto Chaudhury, MD; Robin S. McLeod, MD; Sean P. Cleary, MD


The Canadian Association of General Surgeons (CAGS) Board of Directors hosted a symposium to develop a Canadian strategy for surgical quality and safety at its mid-term meeting on Feb. 24, 2018. The following 6 principles outline the consensus of this symposium, which included diverse stakeholders and surgeon leaders across Canada: 1) a Canadian quality-improvement strategy for surgery is needed; 2) quality improvement requires continuous, active and intentional effort; 3) outcome measurement alone will not drive improvement; 4) increased focus on standardization and process improvement is necessary; 5) new, large electronic medical record systems pose challenges as well as benefits in Canadian hospitals; and 6) surgeons in remote and rural hospitals must be engaged using tailored approaches.

Accepted Apr. 2, 2019

Affiliations: From the University of Toronto, Toronto, Ont. (Urbach, Wei, McLeod); the University of British Columbia, Vancouver, BC (Karimuddin, Hameed); the University of Manitoba, Winnipeg, Man. (Zabolotny); the Canadian Medical Protective Association, Ottawa, Ont. (Lefebvre); Dalhousie University, Halifax, NS (Walsh); McGill University, Montreal, Que. (Fata, Chaudhury); and the Mayo Clinic, Rochester, Minn. (Cleary).

Competing interests: A. Wei is a consultant with Ethicon, Ipsen, Shire and Celgene as well as a noncommercial consultant with Cancer Care Ontario. She declares honoraria from Shire and Celgene and travel assistance from Bayer. No other authors declare competing interests.

Contributors: All authors contributed substantially to the conception, writing and revision of this article and approved the final version for publication.

DOI: 10.1503/cjs.019318

Correspondence to: D. Urbach, 76 Grenville St, Room 8332, Toronto ON M5S 1B2, david.urbach@wchospital.ca