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Quality Assessment and Safety Committee Initiatives

Quality Assessment and Safety Committee Initiatives | ASCRS

Patient-Reported Outcomes

Traditionally, a successful operation has been defined via discrete clinical outcomes, such as wound infection, oncologic completeness, or mortality.  However, the patient’s definition of success, and thus their satisfaction with the outcome, may differ from his or her surgeon’s.  Patient Reported Outcomes (PROs) evaluate outcomes from a patient’s perspective and generally require dedicated measurement instruments.  PROs can be used for clinical care, quality improvement, research and may at some point be used for payment.

Cancer Survivorship Care

Survivorship care is increasingly recognized as an important element of cancer treatment. The Commission on Cancer and the American College of Surgeons are actively promoting survivorship, using the Commission on Cancer accreditation process as a lever.  Integrating survivorship care into a multi-disciplinary cancer program is pragmatically challenging, but appropriate integration with an EMR may smooth this transition.

The Quality and Safety Committee developed the Cancer Survivorship Care overview to provide details on survivorship care plans and resources.

Rectal Cancer Overview

In the treatment of rectal cancer, colorectal surgeons exercise the greatest amount of clinical judgment, and work with the broadest range of other medical specialties. The Quality Assessment and Safety Committee covers several important, trending topics in the area of rectal cancer treatment, from the perspective of quality and patient safety.

Enhanced Recovery Overview

Currently, all parties – patients, payers, and providers are motivated (for different reasons) to optimize the speed and safety of patient recovery after abdominal surgery.  The clinical and economic costs associated with delayed or sub-optimal recovery are staggering.  Within the US, the costs associated with post-operative ileus alone are estimated at $1.5 billion per year. [1] Clearly, strategies that target and enhance post-operative recovery are worth consideration.
Significant improvements in recovery after major abdominal surgery can be achieved by implementing a standardized protocol of evidence-based treatments over the entire peri-operative period.  The Quality and Safety Committee developed the Enhanced Recovery Overview to highlight possible complications and treatments related to enhanced post-operative recovery.  

Rectal Cancer Safety Checklist

Use of checklists has been demonstrated to improve the quality and safety of surgical care. To improve the standardization and quality of care of rectal cancer by our membership, the Quality Assessment and Safety Committee of the ASCRS developed a checklist for rectal cancer surgery which was iteratively revised by committee. The ASCRS Rectal Cancer Safety Checklist can be used to (1) raise awareness of rectal cancer guidelines; (2) enhance pre-operative, intra-operative, and post-operative documentation; and (3) facilitate integration of best practices into pre-operative cancer conferences. ASCRS members who attended the annual meeting in Vancouver provided many positive and constructive comments that were incorporated into the finalized version of the checklist. We welcome feedback on its use at


National Activities of the Quality and Safety Committee

National Quality Forum (NQF):

The ASCRS Quality Assessment and Safety Committee has successfully nominated members to NQF Surgery Measures Steering Committee, the Consensus Standards and Approval Committee, and several related measurement evaluation and endorsement committees.

Surgical Quality Alliance (SQA)


Links to National Quality/Policy Initiatives & Conferences

NSQIP  NSQUIP Website Virtual Tour

ACS (advocacy/Nora Patient safety)

Committee Updates

Rectal Cancer Committee Update

Fact Sheets