City project

Surgical Oncology

Improving Quality and Timeliness of Breast Cancer Surgery through Standardised Quality Indicators in Rosario

City

Rosario, Argentina

Project lead

Dr Luciano Mignini

Areas of action

Implementation

Cycle I

The challenge

Surgical oncology services in Rosario continue to evolve, and further optimisation of care pathways could improve timeliness, clinical outcomes, and the overall patient experience.
Time intervals between surgical indication and procedure show variability across institutions, highlighting opportunities to streamline processes and enhance coordination..
The establishment of shared quality programmes and city-wide standards for oncologic surgery, including breast cancer management, offers an opportunity to promote consistency across institutions.
In addition, improved coordination with pathology services and the standardisation of protocols for surgical specimen handling would support surgical planning and outcomes.
Finally, strengthening systematic follow-up, outcome monitoring, and local analytical capacity would enhance the sustainability of quality improvement initiatives across surgical oncology services.

The goal

To improve the overall quality of breast cancer surgery in Rosario by promoting safe, effective, and patient-centred surgical practices through collaboration between public and private institutions.

The How

Defining and validating a consensus-based set of quality indicators for breast cancer surgery at the city level.
Engaging multidisciplinary teams from public and private hospitals in the development and adoption of shared quality standards.
Piloting the implementation of surgical quality indicators in a set of hospitals from the municipal public, provincial public, and private sectors.
Strengthening monitoring and evaluation mechanisms to assess surgical performance and identify opportunities for improvement.
Generating local evidence to support the future scale-up of quality standards to other institutions and cancer types.

Outputs

Definition and selection of a set of quality indicators for breast cancer surgery in Rosario.

Team

Project Lead

Dr Luciano Mignini, Groupo Oroño

Project Team

Luciano Mignini, Surgery, Breast Unit, Grupo Oroño
Dalila Vidalle, Surgery, Breast Unit, Secretaría de Salud Pública. Municipalidad de Rosario
Ines Hails, Surgery, Breast Surgery, Hospital Escuela Eva Perón
Encarnacion Alonso , Surgery, Breast Unit, Secretaría de Salud Pública. Municipalidad de Rosario
Ruben Mamprin , Hospital Escuela Eva Perón
Federico Griva, Directorate, Hospital de Emergencias dr. Clemente AlvarezHECA
Adrian Lowestein, Anaesthesia, Grupo Oroño
Liliana Vaula, Anaesthesia, Hospital Escuela Eva Perón
Sandra Sarancone, Pathology (Anatomical Pathology), Grupo Oroño
Silvina Placente, Pathology (Anatomical Pathology), Hospital Escuela Eva Perón
Maria Veronica Gennaro, Pathology (Anatomical Pathology), Secretaría de Salud Pública. Municipalidad de Rosario
Marcela Oldani, Operating Room / Nursing, Grupo Oroño
Silvina Rivarola, Operating Room / Nursing, Grupo Oroño
Claudia Gomez, Operating Room / Nursing, Grupo Oroño
Eleonora Gimenez Yuste, Secretariat, Grupo Oroño

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