Abstract
Physicians have an ethical obligation to their patients, institutions, and community to provide the highest quality of care possible. In the past 15 years, beginning with the Institute of Medicine’s To Err is Human report (Kohn et al. To err is human: building a safer health system. Washington, DC: National Academies Press, 2000), Quality Improvement (QI) in surgery has been prioritized by national organizations, including the Centers for Medicare & Medicaid Services, the Center for Disease Control, the American College of Surgeons, and the Accreditation Council for Graduate Medical Education (ACGME). The aim of QI projects is to evaluate the quality of perioperative surgical care and design projects that modify systems and behavior within individual institutions to produce better patient outcomes.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Baily MA, et al. The ethics of using QI methods to improve health care quality and safety. Hastings Cent Rep. 2006;36(4):S1–40.
Davidoff F, Batalden P. Toward stronger evidence on quality improvement. Draft publication guidelines: the beginning of a consensus project. Qual Saf Health Care. 2005;14(5):319–25.
Davidoff F, et al. Publication guidelines for quality improvement studies in health care: evolution of the SQUIRE project. BMJ. 2009;338:a3152.
Finkelstein JA, et al. Oversight on the borderline: quality improvement and pragmatic research. Clin Trials. 2015;12(5):457–66.
Jonsen AR, Siegler M, Winslade WJ. Clinical ethics: a practical approach to ethical decisions in clinical medicine. 8th ed. New York: McGraw-Hill Education; 2015.
Kohn LT, Corrigan JM, Donaldson MS, editors. To err is human: building a safer health system. Washington, DC: National Academies Press; 2000.
Lynn J, et al. The ethics of using quality improvement methods in health care. Ann Intern Med. 2007;146(9):666–73.
McGlynn EA, et al. The quality of health care delivered to adults in the United States. N Engl J Med. 2003;348(26):2635–45.
Millenson ML. The silence. Health Aff (Millwood). 2003;22(2):103–12.
Raval MV, et al. Distinguishing QI projects from human subjects research: ethical and practical considerations. Bull Am Coll Surg. 2014;99(7):21–7.
Services U.S.D.o.H.H. Code of federal regulations. Title 45: public welfare, part 46: protection of human subjects 2009 January 15, 2010. Cited 15 Feb 2016. Available from: http://www.hhs.gov/ohrp/humansubjects/guidance/45cfr46.html.
Weiss KB, Wagner R, Nasca TJ. Development, testing, and implementation of the ACGME Clinical Learning Environment Review (CLER) program. J Grad Med Educ. 2012;4(3):396–8.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Applewhite, M.K., Angelos, P. (2017). Is ‘Quality Science’ Human Subjects Research?. In: Kelz, R., Wong, S. (eds) Surgical Quality Improvement. Success in Academic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-23356-7_10
Download citation
DOI: https://doi.org/10.1007/978-3-319-23356-7_10
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-23355-0
Online ISBN: 978-3-319-23356-7
eBook Packages: MedicineMedicine (R0)