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The SAGES Manual of Quality, Outcomes and Patient Safety by Justin B. Dimick MD, MPH (auth.), David S. Tichansky, MD,

By Justin B. Dimick MD, MPH (auth.), David S. Tichansky, MD, FACS, John Morton, MD, MPH, Daniel B. Jones (eds.)

SAGES represents a world neighborhood of surgeons which could deliver minimum entry surgical procedure, endoscopy and rising thoughts to sufferers in each country.

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There are well-defined national standards of mortality for specific procedures; this readily allows for adjustment by comparing the “observed to expected” (O/E) ratio. In addition, this allows for easy ranking and understanding where one falls in the gradient of performance. The time period typically ranges from inpatient to 30-day postoperatively. Hospital Admissions Data Another easy source of data for the dashboard comes from admissions data. Length of stay and readmission rates do not give the entire picture, but can be helpful benchmarks.

Although processes of care in surgery can represent details of care in the preoperative, intraoperative, and postoperative phases of patient care, most existing process measures focus on details of preoperative patient care. For example, the Center for Medicare and Medicaid Services (CMS) Surgical Care Improvement Project (SCIP) measures focus on processes of care related to the prevention of complications, such as surgical site infection and venous thromboembolism. 1). B. Dimick improvement. , patients not getting timely antibiotic prophylaxis), they know exactly where to target improvement.

However, recent empiric data suggests that only the most important variables contribute meaningfully to risk-adjustment models. For example, Tu and colleagues demonstrated that a five-variable model provides nearly identical results to a 12-variable model for comparing hospital outcomes with cardiac surgery [19]. Using data from the NSQIP, we have demonstrated similar results for both general surgical procedures [18]. These results should be used to streamline the collection of data for risk adjustment, which will decrease the costs of data collection and lower the bar for participation in these important clinical registries.

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