دانلود کتاب راهنمای SAGES – کیفیت، نتایج و ایمنی بیمار

The idea that we can continually improve our outcomes in the delivery of healthcare is intrinsic in the nomenclature of calling what we do being in “practice.” The concept of improving quality in the practice of medicine dates back to the nineteenth century. From Ignaz Semmelweis’ seminal work on handwashing to prevent puerperal sepsis to Florence Nightingale associating high death rates of soldiers in Army hospitals with poor living conditions, physicians and other healthcare providers have often endeavored to find novel ways to improve the delivery of patient care. In surgery, Ernest Codman is credited with the first efforts in quality improvement, recognizing that surgeons could learn from each other and share science to lead to better outcomes for patients, and so he helped found the American College of Surgeons (ACS). Dr. Codman helped to start the Hospital Standardization Program at the ACS, which created and oversaw hospital standards. Today, this is known as the Joint Commission, which is ubiquitous in the healthcare quality arena. He also is the father of implementation of strategies to improve healthcare outcomes. Surgical quality, outcomes, and safety owe a debt of gratitude to this unique surgeon with remarkable foresight over a century ago.