BACKGROUND The journey of minimally invasive (MI) urology is one of quality improvement and patient safety. New techniques have been progressively studied for adoption and growth. As more advanced methods of data collection and analysis are developed, a review of the patterns and history of these principles in the development of minimally invasive urology can inform future urological QI and patient safety initiatives. OBJECTIVE To perform a scoping review identifying patterns of quality improvement and patient safety in MI urology. METHODS PubMed and the American Urological Association (AUA) journal search page were screened to December 2022 for publications using the search parameters "quality improvement" and "minimally invasive." Articles were screened according to the PRISMA extension for scoping reviews (PRISMA-ScR). RESULTS The initial literature search identified 471 articles from PubMed and 57 from the AUA journal search page. After screening, 528 articles were relevant to the topic and reviewed. 482 articles were duplicates or did not meet inclusion criteria. 46 are included in this review. CONCLUSION Urology has developed a pattern of accessing MI surgery versus the open counterpart. This includes analyzing the newest approach to understand complications, examining the factors contributing to complications, and lastly designing projects to mitigate future risk. This information as well as advanced methods of data collection have identified areas of improvement for new quality improvement projects. The stage is set for a promising future with the adoption of advanced QI in daily urologic practice to improve patient safety and minimize errors.

中文翻译：

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微创手术中的患者安全和质量改进。

背景技术微创（MI）泌尿外科的历程是质量改进和患者安全的历程之一。人们已逐步研究新技术的采用和发展。随着更先进的数据收集和分析方法的开发，回顾微创泌尿外科发展中这些原则的模式和历史可以为未来的泌尿外科 QI 和患者安全举措提供信息。目的 进行范围审查，以确定 MI 泌尿科质​​量改进和患者安全的模式。方法 PubMed 和美国泌尿外科协会 (AUA) 期刊检索页面使用检索参数“质量改进”和“微创”筛选截至 2022 年 12 月的出版物。文章根据 PRISMA 范围审查扩展 (PRISMA-ScR) 进行筛选。结果 初步文献检索发现 471 篇文章来自 PubMed，57 篇文章来自 AUA 期刊检索页面。经过筛选，有 528 篇文章与该主题相关并经过审核。482 篇文章重复或不符合纳入标准。本次审查包含 46 项。结论 与开放手术相比，泌尿外科已经形成了一种接受心肌梗死手术的模式。这包括分析了解并发症的最新方法，检查导致并发症的因素，最后设计项目以减轻未来的风险。这些信息以及先进的数据收集方法确定了新的质量改进项目的改进领域。通过在日常泌尿外科实践中采用先进的 QI 来提高患者安全并最大限度地减少错误，我们已经为充满希望的未来做好了准备。