Pancreatic Surgery Quality Metrics Survey
You are being given a list of quality metrics classified by the phases of surgical care. Assuming the patient’s
perspective, please select the level of importance for each quality metric:
PREOPERATIVE PHASE
Essential
Somewhat
important
Not important
1. Time from diagnosis until surgery
1
2
3
2. Communication with surgeon before surgery
1
2
3
3. Communication with other members of the medical team before
surgery (e.g., oncologist, radiotherapist)
1
2
3
4. Availability of information given to cope with disease (e.g., support
groups, talks)
1
2
3
5. Communication between surgeon and primary care and/or referring
physician
1
2
3
6. Communication between surgeon and family members
1
2
3
7. Discussion of preoperative imaging and pathology
1
2
3
8. Education regarding natural history of disease with and without
surgery
1
2
3
9. Informed consent obtained by surgeon performing the operation
1
2
3
10. Emotional support offered by surgeon
1
2
3
11. Education of expectations before and after surgery
1
2
3
12. Access to multidisciplinary care
1
2
3
13. Address patient’s preoperative fear and anxiety
1
2
3
14. Provide clear explanation of possible operative approaches (open vs
laparoscopic vs robotic)
1
2
3
15. Provide clear explanation of possible options of neo-adjuvant or
adjuvant therapy
1
2
3
16. Surgeon’s credentials and experience
1
2
3
17. Impact of surgery in household or work
1
2
3
18. Availability of surgeon or team between clinic appointment and time
of surgery
1
2
3
19. Health insurance status and coverage of surgery
1
2
3
20. Equal care given to all patients
1
2
3
INTRAOPERATIVE PHASE:
Essential
Somewhat
important
Not important
1. Communication with surgeon on the day of the operation
1
2
3
2. Use of preoperative anticoagulation to prevent development of blood
clots
1
2
3
3. Use of preoperative antibiotics to prevent development of infections
1
2
3
4. Operative approach (e.g., open vs laparoscopic)
1
2
3
5. Development of intraoperative complications
1
2
3
6. Amount of blood loss during the procedure / need for blood
transfusions
1
2
3
7. Participation of residents/fellows in the operating room
1
2
3
8. Deviation from original surgical plan (e.g., conversion to open)
1
2
3
9. Amount of drains placed during the procedure
1
2
3
10. Intraoperative mortality
1
2
3
11. Costs of the operation
1
2
3
12. Duration of the operation
1
2
3
13. Updates on patient’s condition to family during the operation
1
2
3
What better defines your role in the care of patients with pancreatic cancer?
Attending Surgeon/Physician
Resident/Fellow
Nurse
Patient
Other:
POSTOPERATIVE PHASE:
Essential
Somewhat
important
Not important
1. Communication of surgeon with family after surgery
1
2
3
2. Face-to-face time of surgeon with patient after surgery
1
2
3
3. Use of clinical pathway for recovery
1
2
3
4. Pain control
1
2
3
5. Development of postoperative complications
1
2
3
6. Total costs of care during length of stay
1
2
3
7. Length of stay
1
2
3
8. Postoperative mortality
1
2
3
9. Perception of quality of care by family members
1
2
3
10. Involvement of palliative/pastoral care
1
2
3
11. Involvement of social work/case management
1
2
3
12. Assistance with transition to home care
1
2
3
13. Readmission to the hospital (after being discharged)
1
2
3
14. Time of drain removal
1
2
3
15. Detailed explanation of discharge paperwork
1
2
3
16. Ease of access to my surgeon or surgical team after being discharged
1
2
3
17. Number of days until food ingestion
1
2
3
18. Measures to prevent postoperative complications
1
2
3
19. Time elapsed until I return to normal or close to normal activities
1
2
3
ARE WE MISSING ANY METRICS?
No
Yes: