• Chelsea P Fischer, Q Lina Hu, Annie B Wescott, Melinda Maggard-Gibbons, David B Hoyt, and Clifford Y Ko.
• Division of Research and Optimal Patient Care, American College of Surgeons, Chicago; Department of Surgery, Loyola University Medical Center, Maywood, IL. Electronic address: cfischer@facs.org.
• J. Am. Coll. Surg. 2021 Aug 1; 233 (2): 294-311.e1.

AbstractAfter decades of experience supporting surgical quality and safety by the American College of Surgeons, the American College of Surgeons Quality Verification Program was developed to help hospitals improve surgical quality, safety, and reliability. This review is the second of a 3-part review aiming to synthesize the evidence supporting the main principles of the American College of Surgeons Quality Verification Program. Evidence was systematically reviewed for 5 principles: case review, peer review, credentialing and privileging, data for surveillance, and continuous quality improvement using data. MEDLINE was searched for articles published from inception to January 2019 and 2 reviewers independently screened studies for inclusion in a hierarchical fashion, extracted data, and summarized results in a narrative fashion. A total of 9,098 studies across the 5 principles were identified. After exclusion criteria, a total of 184 studies in systematic reviews and primary studies were included for assessment. The identified literature supports the importance of standardized processes and systems to identify problems and improve quality of care.Copyright © 2021 American College of Surgeons. Published by Elsevier Inc. All rights reserved.

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