SCOAP Program Documents
Articles About SCOAP
- Creating a learning healthcare system in surgery: Washington State’s Surgical Care and Outcomes Assessment Program (SCOAP) at 5 years. Surgery. 2011 Nov 29. There are increasing efforts towards improving the quality and safety of surgical care while decreasing the costs. In Washington state, there has been a regional and unique approach to surgical quality improvement. The development of the Surgical Care and Outcomes Assessment Program (SCOAP) was first described 5 years ago. SCOAP is a peer-to-peer collaborative that engages surgeons to determine the many process of care metrics that go into a “perfect” operation, track on risk adjusted outcomes that are specific to a given operation, and create interventions to correct under performance in both the use of these process measures and outcomes. SCOAP is a thematic departure from report card oriented QI. SCOAP builds off the collaboration and trust of the surgical community and strives for quality improvement by having peers change behaviors of one another. We provide, here, the progress of the SCOAP initiative and highlight its achievements and challenges.
- Washington State’s approach to variability in surgical processes/Outcomes: Surgical Clinical Outcomes Assessment Program (SCOAP) Surgery 2005;138:821-8. View article (PDF).
- Negative Appendectomy and Imaging Accuracy in the Washington State Surgical Care and Outcomes Assessment Program; Annals of Surgery (October 2008;248(4):557-63. View article (PDF).
- The Agency for Healthcare Research and Quality (AHRQ) has published a free guide entitled, “Preventing Hospital-Acquired Venous Thromboembolism: A Guide for Effective Quality Improvement.” Featuring quality improvement initiatives undertaken at the University of California, San Diego Medical Center and Emory University Hospitals, this guide assists quality improvement practitioners in leading an effort to improve prevention of one of the most important problems facing hospitalized patients, hospital-acquired venous thromboembolism.
- Peri-Operative Beta Blocker Protocol Orders
- Peri-Operative Beta Blocker Protocol, shared by St. John Medical Center
The University of Washington’s VTE website contains multiple evidence-based tools called the VTE Safety Toolkit, for the prevention, diagnosis, and treatment of venous thromboembolism (VTE). The development and implementation of the toolkit was funded by the Agency for Healthcare Research and Quality (AHRQ) for the purpose of increasing the implementation of safe practice interventions for patients at risk for or who are diagnosed with VTE, through use of an evidenced-based and system-supported interactive VTE Safety Toolkit.
ß-Blockers and statins are individually associated with reduced mortality in patients undergoing noncardiac, nonvascular surgery Coronary Artery Disease 2007, 18:67–72. Peter G. Noordzij, Don Poldermans, Olaf Schouten, Frodo Schreiner, Harm H.H. Feringa, Martin Dunkelgrun, Miklos D. Kertai and Eric Boersma Links: PDF (posted with permission)
The relative risk of incident coronary heart disease associated with recently stopping the use of beta-blockers JAMA, Mar 1990; 263: 1653 – 1657. B. M. Psaty, T. D. Koepsell, E. H. Wagner, J. P. LoGerfo and T. S. Inui Department of Medicine, University of Washington, Seattle. Link: Abstract
Increase of 1-year Mortality After Perioperative Beta-blocker Withdrawal in Endovascular and Vascular Surgery Patients European Journal of Vascular and Endovascular Surgery Volume 33, Issue 1 , January 2007, Pages 13-19 S.E. Hoeks, W.J.M. Scholte op Reimer, H. van Urk, P.J.G. Jörning, E. Boersma, M.L. Simoons, J.J. Bax and D. Poldermans Links: Abstract | HTML | PDF (170K)
Mortality and morbidity in patients with very low postoperative Hb levels who decline blood transfusion Transfusion 2002 Jul;42(7):812-8). Carson JL, Noveck H, Berlin JA, Gould SA Links: Abstract
A multicenter, randomized, controlled clinical trial of transfusion requirements in critical care Transfusion Requirements in Critical Care Investigators, Canadian Critical Care Trials Group. NEJM 1999;(340:409-17). Hébert PC, Wells G, Blajchman MA, Marshall J, Martin C, Pagliarello G, Tweeddale M, Schweitzer I, Yetisir E. Links: Abstract | HTML | PDF (175K)
Transfusion Trigger Trial for Functional Outcomes in Cardiovascular Patients Undergoing Surgical Hip Fracture Repair (FOCUS) Transfusion, Vol. 46, No. 12. (December 2006), pp. 2192-2206. Carson JL, Terrin ML, Magaziner J, Chaitman BR, Apple FS, Heck DA, Sanders D; FOCUS Investigators Links: Abstract | HTML | PDF (125K)
Immunologic changes after transfusion of autologous or allogeneic buffy coat-poor versus white cell-reduced blood to patients undergoing arthroplasty. I. Proliferative T-cell responses and the balance of helper and suppressor T cells Transfusion 1999;39(10):1089-96. Innerhofer, P.; Luz, G.; Spötl, L.; Hobisch-Hagen, P.; Schobersberger, W.; Fischer, M.; Nussbaumer, W.; Lochs, A.; Irschick, E. Links: Abstract
Does the storage time of transfused red blood cells influence regional or global indexes of tissue oxygenation in anemic critically ill patients? Critical Care Medicine. 32(2):364-371, February 2004. Walsh, Timothy S. MRCP, FRCA, MD; McArdle, Fiona BSc, MSc, RGN; McLellan, Stuart A. MRCP, FRCA; Maciver, Caroline BSc, RGN; Maginnis, Michael FIMLS; Prescott, Robin J.; McClelland, D. Brian FRCP, MD Links: Abstract | HTML | PDF (374K)
Colorectal surgical specimen lymph node harvest: improvement of lymph node yield with a pathology assistant J Gastrointest Surg. 2009 Aug;13(8):1459-63. Reese, Jeffery A.; Hall, Christopher; Bowles, Kelly; Moesinger, Robert C. Links: Abstract | PDF (172K)
The Evolving Multimodal Management Plan for Postoperative Ileus Medscape CME John B. Leslie, MD, MBA; Robert MacLaren, PharmD, BSc (Pharm), FCCM, FCCP; Theodore J. Saclarides, MD Links: HTML | PDF (456K)