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Real Time Monitoring of Risk-Adjusted Surgical Outcomes for Congenital Heart Disease

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Pediatric and Congenital Cardiac Care

Abstract

Real time monitoring of risk-adjusted outcomes for adult cardiac surgery has been reported in the past and found to aid quality assurance efforts. Recent advances in terms of the available risk-adjustment methods for congenital heart disease and paediatric cardiac surgery, which go some way to reflecting the great complexity of this field, have opened up the opportunity to use Variable Life Adjusted Display (VLAD) charts for this context. This chapter explains what VLAD charts are, and how they differ to other retrospective methods of audit that may be familiar to readers. The chapter then provides an example of VLAD chart use for real time monitoring of risk-adjusted surgical outcomes in congenital heart disease from the United Kingdom thus illustrating how these charts may be used for quality assurance. The chapter then places this example into context covering some of the salient issues and previous experiences with VLAD for outcome monitoring.

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Author information

Authors and Affiliations

  1. Cardiac Unit, Great Ormond Street Hospital for Children NHS Foundation Trust, Great Ormond Street, London, WC1 N3JH, UK

    Kate L. Brown MD, MPH

  2. Clinical Operational Research Unit, University College London, Gower Street, London, WC1E 6BT, UK

    Sonya Crowe PhD, Martin Utley PhD & Christina Pagel PhD

Authors
  1. Kate L. Brown MD, MPH
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  2. Sonya Crowe PhD
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  3. Martin Utley PhD
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  4. Christina Pagel PhD
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Corresponding author

Correspondence to Kate L. Brown MD, MPH .

Editor information

Editors and Affiliations

  1. School of Medicine,, University of Oslo, Oslo, Norway

    Paul R. Barach

  2. Division of Cardiac Surgery, Department of Surgery, Johns Hopkins University, Division of Cardiac Surgery, Department of Surgery, Johns Hopkins All Children’s Heart Institute, All Children’s Hospital and Florida Hospital for Children, Johns Hopkins University, St. Petersburg, Tampa, Orlando, FL, USA,, Baltimore, Maryland, USA

    Jeffery P. Jacobs

  3. Wayne State University, Detroit, Michigan, USA

    Steven E. Lipshultz

  4. The Hospital for Sick Children, Toronto, Ontario, Canada

    Peter C. Laussen

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© 2015 Springer-Verlag London

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Brown, K.L., Crowe, S., Utley, M., Pagel, C. (2015). Real Time Monitoring of Risk-Adjusted Surgical Outcomes for Congenital Heart Disease. In: Barach, P., Jacobs, J., Lipshultz, S., Laussen, P. (eds) Pediatric and Congenital Cardiac Care. Springer, London. https://doi.org/10.1007/978-1-4471-6587-3_25

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  • DOI: https://doi.org/10.1007/978-1-4471-6587-3_25

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-6586-6

  • Online ISBN: 978-1-4471-6587-3

  • eBook Packages: MedicineMedicine (R0)

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