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Measuring and Managing Quality of Surgery
- Source :
- Archives of Surgery. 127:733
- Publication Year :
- 1992
- Publisher :
- American Medical Association (AMA), 1992.
-
Abstract
- • New rules for quality assurance provoked a comparison of effects of two approaches used concurrently for 14 years. In an incidental approach, a multidisciplinary conference reviewed all postoperative complications as they occurred and attributed each to one of six causes. Remedies were instituted and data were filed. In a statistical approach, death and complication rates were computed annually and compared with previous years' rates and with rates reported to Congress as national norms. Statistics suggested acceptable quality in each specialty but calculations were tedious and differences achieved significance too rarely or too slowly to identify problems, protect patients, and improve care. The incidental approach was popular and produced immediate improvements in patient care. Conferees attributed one half of complications to errors. Frequent acknowledgment of susceptibility to error may contribute to the safety and quality shown by our statistics. ( Arch Surg . 1992;127:733-738)
- Subjects :
- medicine.medical_specialty
Quality Assurance, Health Care
business.industry
media_common.quotation_subject
Statistics as Topic
Specialty
Too slowly
Surgery
Postoperative Complications
Multidisciplinary approach
Surgical Procedures, Operative
medicine
Humans
Quality (business)
In patient
business
Quality assurance
media_common
Subjects
Details
- ISSN :
- 00040010
- Volume :
- 127
- Database :
- OpenAIRE
- Journal :
- Archives of Surgery
- Accession number :
- edsair.doi.dedup.....4d546119efe54b950a9bdb8750d38b4e