Health Systems and Public Health

The Health Systems and Public Health group lead by Dr. Angela Bader works to address optimization of patient outcomes and directly implement appropriate practices in our presurgical area. Dr Angela Bader's group works in conjunction with the Center for Surgery and Public Health at Brigham & Women’s Hospital and the Harvard School of Public Health.

The group has completed studies analyzing operational flow processes within the preoperative clinic to determine best practice. In an effort to improve the quality of preoperative practice on a national and international level, members of this division (Angela Bader, David Hepner, Margaret Pothier and Darin Correll) together with a group of national and international experts in this area formed the Society for Perioperative Assessment and Quality Improvement (SPAQI).Drs. Bader, Hepner, and Correll serve respectively as the founding President, Vice President and Secretary/Treasurer. SPAQI was formed in 2006 as a nonprofit, international organization with the goal of bringing together a variety of professionals in various disciplines to work together on all facets influencing optimal surgical outcomes.

In addition, they work on projects related to appropriateness of surgical care; which includes work on the surgical home and improving patient centered- high quality shared surgical decision making. Recent publications have described current deficits in surgical decision making and surgery done in patients in the last year of life.

Principal Investigator

Angela Bader

Angela Bader, MD, MPH current academic interests lie in the area of assessment, patient safety, and quality improvement, focusing specifically on strategies for the optimization of patient outcomes with appropriate risk assessment as well as efficient resource use. Dr. Bader is a Professor of Anaesthesia at Harvard Medical School.

Selected Recent Publications

  • Barnet CS, Arriaga AF, Hepner, DL, Correll DJ, Gawande AA, Bader AM. Surgery at the end of Life: A pilot study comparing decedents and survivors at a tertiary care center. Anesthesiology, In Press
  • Arriaga AF, Bader AM, Wong JM, Lipsitz SR, Berry WR, Ziewacz JE, Hepner DL, Boorman DJ, Pozner CN, Smink DS, Gawande AA. A Simulation-Based Trial of Surgical Crisis Checklists. NEJM 2013;368:246-53
  • Hu YY, Arriaga AF, Roth EM, Peyre SE, Corso KA, Swanson RS, Osteen RT, Schmitt P, Bader AM, Zinner MJ, Greenberg CC. Protecting patients from an unsafe system: the etiology and recovery of intraoperative deviations in care. Ann Surg 2012;256:203-10.
  • Kwok AC, Semel ME, Lipsitz S, Bader AM, Barnato AE, Gawande AA, Jha AK. The intensity and variation of surgical care at the end-of-life. Lancet 2011:378(9800):1408-13.
  • Semel ME, Lipsitz SR, Funk LM, Bader AM, Weiser TG, Gawande AA. Rates and patterns of death after surgery in the United States, 1996 and 2006. Surgery 2012;151:171-82. Epub 2011 Oct 5.