Автор |
Daley, Jennifer |
Автор |
Henderson, William G. |
Автор |
Khuri, Shukri F. |
Дата выпуска |
2001 |
dc.description |
▪ Abstract Measures of risk-adjusted outcome are particularly suited for the assessment of the quality of surgical care. The reliability of measures of quality that use surgical outcomes is enhanced by prospective data acquisition and should be adjusted for the preoperative severity of illness. Such measures should be based only on reliable and validated data, and they should apply state-of-the-art analytical methods. The risk-adjusted postoperative mortality rate is useful as a quality measure only in specialties and operations expected to have a high rate of postoperative deaths. Risk-adjusted complications are more common but are limited as a comparative measure of quality by a lack of uniform definitions and data collection mechanisms. In specialties in which the expected postoperative mortality is low, risk-adjusted functional outcomes are promising measures for the assessment of the quality of surgical care. Measures of cost and patient satisfaction should also be incorporated in systems designed to measure the quality and cost-effectiveness of surgical care. |
Формат |
application.pdf |
Издатель |
Annual Reviews |
Копирайт |
Annual Reviews |
Название |
RISK-ADJUSTED SURGICAL OUTCOMES <sup>1</sup> |
DOI |
10.1146/annurev.med.52.1.275 |
Print ISSN |
0066-4219 |
Журнал |
Annual Review of Medicine |
Том |
52 |
Первая страница |
275 |
Последняя страница |
287 |
Аффилиация |
Daley, Jennifer; Department of Medicine, Boston Veterans Administration Healthcare System, Harvard Medical School, Boston, Massachusetts e-mail: jdaley1@partners.org |