Evaluating Quality in Adult Cardiac Surgery
| Autor: | Vikas Sharma, Jason P. Glotzbach, Craig H. Selzman, John J. Ryan |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Surgeons
Program evaluation Process (engineering) business.industry media_common.quotation_subject Review 030204 cardiovascular system & hematology Risk adjustment Quality Improvement Medical care 03 medical and health sciences 0302 clinical medicine Risk analysis (engineering) Humans Medicine Quality (business) Clinical Competence 030212 general & internal medicine Cardiac Surgical Procedures Cardiology and Cardiovascular Medicine business Medical literature media_common Institutional quality |
| Zdroj: | Tex Heart Inst J |
| ISSN: | 1526-6702 0730-2347 |
| DOI: | 10.14503/thij-19-7136 |
| Popis: | National and institutional quality initiatives provide benchmarks for evaluating the effectiveness of medical care. However, the dramatic growth in the number and type of medical and organizational quality-improvement standards creates a challenge to identify and understand those that most accurately determine quality in cardiac surgery. It is important that surgeons have knowledge and insight into valid, useful indicators for comparison and improvement. We therefore reviewed the medical literature and have identified improvement initiatives focused on cardiac surgery. We discuss the benefits and drawbacks of existing methodologies, such as comprehensive regional and national databases that aid self-evaluation and feedback, volume-based standards as structural indicators, process measurements arising from evidence-based research, and risk-adjusted outcomes. In addition, we discuss the potential of newer methods, such as patient-reported outcomes and composite measurements that combine data from multiple sources. |
| Databáze: | OpenAIRE |
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