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Improvements in thoracic surgery outcomes: a multi-institutional collaboration study

Overview of attention for article published in Journal of Cardiothoracic Surgery, March 2015
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Improvements in thoracic surgery outcomes: a multi-institutional collaboration study
Published in
Journal of Cardiothoracic Surgery, March 2015
DOI 10.1186/s13019-015-0228-7
Pubmed ID

Yasushi Iwasaki, Junichi Shimada, Daishiro Kato, Motohiro Nishimura, Kazuhiro Ito, Kunihiko Terauchi, Masanori Shimomura, Hiroaki Tsunezuka


Treatment protocols (including those for thoracic surgery) tend to be customized for individual hospitals. Procedural standardization is required to improve surgical tasks and patient outcomes. This study aimed to evaluate the effects of an initiative to standardize surgical tasks for efficient and safe performance. Hospitals associated with the Division of Chest Surgery of the Kyoto Prefectural University of Medicine held joint meetings involving their thoracic surgeons and operating room nurses between February 2011 and November 2012 to standardize surgical tasks. Operation times and blood loss were compared before and after standardization. The implementation rate of standardized surgical tasks was 97%. The pre-operative (from entry to the operating room until commencement of surgery) and post-operative (from conclusion of surgery until departure from the operating room) times were significantly decreased after the standardization. When compared according to operative group (all thoracic surgery, lung lobectomy, and partial lung resection), operation times were shorter for all three groups; in addition, the amount of blood loss was lower in all three groups after standardization. A post-standardization survey showed improved morale among the meeting participants. Interdisciplinary standardization of surgical tasks across institutions improved thoracic surgery tasks and surgical outcomes.

Mendeley readers

The data shown below were compiled from readership statistics for 25 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 25 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 4 16%
Student > Master 4 16%
Student > Ph. D. Student 3 12%
Student > Doctoral Student 3 12%
Professor > Associate Professor 2 8%
Other 9 36%
Readers by discipline Count As %
Medicine and Dentistry 11 44%
Nursing and Health Professions 8 32%
Computer Science 1 4%
Immunology and Microbiology 1 4%
Arts and Humanities 1 4%
Other 1 4%
Unknown 2 8%