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Current Concepts| Volume 45, ISSUE 9, P851-856.e2, September 2020

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Measuring and Improving the Quality of Care During Global Outreach Trips: A Primer for Safe and Sustainable Surgery

  • Lauren M. Shapiro
    Correspondence
    Corresponding author: Lauren M. Shapiro, MD, Department of Orthopaedic Surgery, Stanford University, 450 Broadway Street, Redwood City, CA 94603.
    Affiliations
    Department of Orthopaedic Surgery, Stanford University, Redwood City, CA
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  • Author Footnotes
    † The Global-QUEST Investigators include Lauren M. Shapiro, MD (Department of Orthopaedic Surgery, Stanford University, Redwood City, CA), James Chang, MD (Division of Plastic and Reconstructive Surgery, Stanford University, Palo Alto, CA), Paige M. Fox, MD, PhD (Division of Plastic and Reconstructive Surgery, Stanford University, Palo Alto, CA), Scott H. Kozin, MD (Shriners Hospitals for Children–Philadelphia, Philadelphia, PA), Kevin C. Chung, MD, MS (Section of Plastic Surgery, University of Michigan, Ann Arbor, MI), George S.M. Dyer, MD (Department of Orthopaedics, Harvard Combined Orthopaedics Residency Program, Massachusetts General Hospital, Boston, MA), Duretti T. Fufa, MD (Department of Orthopedic Surgery, Hospital for Special Surgery, New York, NY), Fraser J. Leversedge, MD (Department of Orthopaedic Surgery, Duke University, Durham, NC), Julie A. Katarincic, MD (University Orthopedics, East Providence, RI), and Robin N. Kamal, MD (VOICES Health Policy Research Center, Department of Orthopaedic Surgery, Stanford University, Redwood City, CA).
    Global-Quest Investigators
    Footnotes
    † The Global-QUEST Investigators include Lauren M. Shapiro, MD (Department of Orthopaedic Surgery, Stanford University, Redwood City, CA), James Chang, MD (Division of Plastic and Reconstructive Surgery, Stanford University, Palo Alto, CA), Paige M. Fox, MD, PhD (Division of Plastic and Reconstructive Surgery, Stanford University, Palo Alto, CA), Scott H. Kozin, MD (Shriners Hospitals for Children–Philadelphia, Philadelphia, PA), Kevin C. Chung, MD, MS (Section of Plastic Surgery, University of Michigan, Ann Arbor, MI), George S.M. Dyer, MD (Department of Orthopaedics, Harvard Combined Orthopaedics Residency Program, Massachusetts General Hospital, Boston, MA), Duretti T. Fufa, MD (Department of Orthopedic Surgery, Hospital for Special Surgery, New York, NY), Fraser J. Leversedge, MD (Department of Orthopaedic Surgery, Duke University, Durham, NC), Julie A. Katarincic, MD (University Orthopedics, East Providence, RI), and Robin N. Kamal, MD (VOICES Health Policy Research Center, Department of Orthopaedic Surgery, Stanford University, Redwood City, CA).
    Authors List
  • Author Footnotes
    † The Global-QUEST Investigators include Lauren M. Shapiro, MD (Department of Orthopaedic Surgery, Stanford University, Redwood City, CA), James Chang, MD (Division of Plastic and Reconstructive Surgery, Stanford University, Palo Alto, CA), Paige M. Fox, MD, PhD (Division of Plastic and Reconstructive Surgery, Stanford University, Palo Alto, CA), Scott H. Kozin, MD (Shriners Hospitals for Children–Philadelphia, Philadelphia, PA), Kevin C. Chung, MD, MS (Section of Plastic Surgery, University of Michigan, Ann Arbor, MI), George S.M. Dyer, MD (Department of Orthopaedics, Harvard Combined Orthopaedics Residency Program, Massachusetts General Hospital, Boston, MA), Duretti T. Fufa, MD (Department of Orthopedic Surgery, Hospital for Special Surgery, New York, NY), Fraser J. Leversedge, MD (Department of Orthopaedic Surgery, Duke University, Durham, NC), Julie A. Katarincic, MD (University Orthopedics, East Providence, RI), and Robin N. Kamal, MD (VOICES Health Policy Research Center, Department of Orthopaedic Surgery, Stanford University, Redwood City, CA).
Published:July 14, 2020DOI:https://doi.org/10.1016/j.jhsa.2020.04.027
Measuring and Improving the Quality of Care During Global Outreach Trips: A Primer for Safe and Sustainable Surgery
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      Trauma is the leading cause of mortality in patients aged 5 years and older. Globally, trauma kills more people than malaria, tuberculosis, and HIV/AIDs combined. As the number of surgical outreach trips to low- and middle-income countries and resources provided for such trips increase, hand surgeons are uniquely positioned to address this global burden. However, the delivery of surgical care alone is insufficient without effectively evaluating the quality of care delivered. It is critical that the care provided on outreach trips improves patient and population health, does not harm patients, and develops the local health care ecosystem. An estimated 8 million lives could be saved annually in low- and middle-income countries with higher-quality health systems. Currently, data collection systems for evaluating quality during outreach trips are lacking. Insight into current methods of quality assessment and improvement in both developing and developed countries can help inform future efforts to implement innovative data collection systems. Thoughtful and sustainable collaboration with host sites in low- and middle-income countries can ensure that care delivery is culturally competent and improves population health.

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      Article info

      Publication history

      Published online: July 14, 2020
      Accepted: April 29, 2020
      Received: March 2, 2020

      Footnotes

      No benefits in any form have been received or will be received related directly or indirectly to the subject of this article.

      Identification

      DOI: https://doi.org/10.1016/j.jhsa.2020.04.027

      Copyright

      © 2020 by the American Society for Surgery of the Hand. All rights reserved.

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