Abstract
Improving surgical care requires an in depth understanding of how to measure quality. We are currently witnessing an unprecedented level of investment from payers, policy makers, patient advocacy groups and professional societies to measure the quality of care surgeons provide. Despite the widespread interest in measuring quality, there is little consensus how it should be done. Payers and regulators often target processes of care (e.g. appropriate use of preoperative antibiotics), while surgeons tend to focus on outcomes that are seen as the “bottom line” (e.g. 30-day post-operative mortality rates.) Most recently, numerous stakeholders are advocating for the use of patient reported information (e.g. “How did this operation affect your daily living?”)
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Abbreviations
- PROs:
-
Patient Reported Outcomes
References
Bilimoria KY. Facilitating quality improvement: pushing the pendulum back toward process measures. JAMA. 2015;314(13):1333–4.
Bilimoria KY, Cella D, Butt Z. Current challenges in using patient-reported outcomes for surgical care and performance measurement: everybody wants to hear from the patient, but are we ready to listen? JAMA Surg. 2014;149(6):505–6.
Birkmeyer JD, Dimick JB, Staiger DO. Operative mortality and procedure volume as predictors of subsequent hospital performance. Ann Surg. 2006;243(3):411–7.
Birkmeyer JD, Finks JF, O’Reilly A, et al. Surgical skill and complication rates after bariatric surgery. N Engl J Med. 2013;369(15):1434–42.
Dimick JB, Birkmeyer JD. Ranking hospitals on surgical quality: does risk-adjustment always matter? J Am Coll Surg. 2008;207(3):347–51.
Dimick JB, Welch HG. The zero mortality paradox in surgery. J Am Coll Surg. 2008; 206(1):13–6.
Dimick JB, Welch HG, Birkmeyer JD. Surgical mortality as an indicator of hospital quality: the problem with small sample size. JAMA. 2004;292(7):847–51.
Dimick JB, Osborne NH, Hall BL, Ko CY, Birkmeyer JD. Risk adjustment for comparing hospital quality with surgery: how many variables are needed? J Am Coll Surg. 2010;210(4):503–8.
Donabedian A. The quality of care. How can it be assessed? JAMA. 1988;260(12):1743–8.
Greenberg CC, Ghousseini HN, Pavuluri Quamme SR, Beasley HL, Wiegmann DA. Surgical coaching for individual performance improvement. Ann Surg. 2015;261(1):32–4.
Hu YY, Peyre SE, Arriaga AF, et al. Postgame analysis: using video-based coaching for continuous professional development. J Am Coll Surg. 2012;214(1):115–24.
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Ibrahim, A.M., Dimick, J.B. (2017). Measuring Surgical Quality. In: Kelz, R., Wong, S. (eds) Surgical Quality Improvement. Success in Academic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-23356-7_3
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DOI: https://doi.org/10.1007/978-3-319-23356-7_3
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