In this thoroughly revised second edition of the frequently downloaded manual, The SAGES Manual of Quality, Outcomes, and Patient Safety. A panel of experts update and expand their survey of the many factors that influence quality in the world of surgery, surgical outcomes, and threats to patient safety.  Among the highlights include a section devoted to threats to quality and outcomes and safety, such as surgeon wellness and burnout, disruptive behavior, second victims, the surgeon with declining skills, and maintaining quality in the setting of a crisis. Another all-new section focuses on surgical controversies, such as whether or not to use robotic surgical technology and whether or not it influences surgical outcomes; whether or not routine cholangiography reduces the common bile duct injury rate; whether or not having a consistent operating room team influences surgical outcomes, and whether a conflict of interest truly influences surgical quality.  Further, this manual updates chapters on surgical simulation, teamwork and team training, teleproctoring, mentoring, and error analysis. 
State-of-the-art and readily accessible, The SAGES Manual of Quality, Outcomes, and Patient Safety, Second Edition will offer physicians strategies to maintain surgical quality in a rapidly changing practice environment the tools they require to succeed.

Defining Quality in Surgery

Never Events in Surgery
Surgical Dashboard for Quality
Understanding Complex Systems and How It Impacts Quality in Surgery
Clinical Care Pathways
Tracking Quality:  Data Registries (NSQIP, MBSAQIP, AHS-QC, etc.)
Accreditation Standards:  Bariatric Surgery
Training for Quality:  Milestones, Mentoring, EPAs
Implementing Quality Improvement at Your Institution
Creating and Defining Quality Metrics That Matter in Surgery
The Role of the Surgical Society in Quality
Perioperative Risk Assessment
The Current State of Surgical Outcomes Measurement
Developing Patient-Centered Outcomes Metrics
Optimizing Surgical Outcomes:  Enhanced Recovery Pathways
Optimizing Pain Management:  Non-opioid pain management
Taxonomy of Errors:  Adverse Event/Near Miss Analysis
Disclosure of Complications and Error
Avoidance of Complications
Safe Introduction of Technology
Quality, Safety, EMR
Surgical Timeout, Briefing and Debriefing:  Safety in the Operating Room
Effective Communication for Teamwork and Patient Safety
Energy/Safety in the OR
Patient Safety Indicators as Benchmarks
Culture of Safety and Era of Better Practices
Learning New Operations
Team Training
Simulation and OR Team Performance
Debriefing After Simulation
Simulation for Bad News
Teleproctoring
Training for Quality:  Fundamentals Program
Training to Proficiency
The Critical View of Safety:  Creating Procedural Safety Benchmarks
Surgical Mentoring
SAGES Commitment to Surgical Quality, Outcomes, and Safety
Surgeon Wellness:  Strategies to Avoid Burnout
The Disruptive Surgeon
The Second Victim:  Handling Bad Outcomes (Paget)
The Surgeon in Distress:  How to Train a Surgeon as their Skills Decline
Fatigue in Surgery:  Managing an Unrealistic Work Burden
Training New Surgeons:  Maintaining Quality in the Era of Work Hours Regulations
Maintaining Surgical Quality in the Setting of Surgical Crisis
Robot or Not Robot - Hernia
Consistent Operating Room Team
Routine vs Selective Cholangiography for Prevention of CBD Injury
OR attire - does it impact quality?
Provision of Less Care/Withdrawal of Care
Changing Paradigm in Trauma vs General Surgery: Who is Best to Offer the Care?
Super-subspecialization of general surgery - is this better for patients?
What is the Connection Between Conflict of Interest and Patient Safety/Outcomes/Quality.