Quality of British and American Nationwide Quality of Care and Patient Safety Benchmarking Programs: Case Neurosurgery

Neurosurgery
Elina ReponenMiikka Korja

Abstract

Multiple nationwide outcome registries are utilized for quality benchmarking between institutions and individual surgeons. To evaluate whether nationwide quality of care programs in the United Kingdom and United States can measure differences in neurosurgical quality. This prospective observational study comprised 418 consecutive adult patients undergoing elective craniotomy at Helsinki University Hospital between December 7, 2011 and December 31, 2012.We recorded outcome event rates and categorized them according to British Neurosurgical National Audit Programme (NNAP), American National Surgical Quality Improvement Program (NSQIP), and American National Neurosurgery Quality and Outcomes Database (N2QOD) to assess the applicability of these programs for quality benchmarking and estimated sample sizes required for reliable quality comparisons. The rate of in-hospital major and minor morbidity was 18.7% and 38.0%, respectively, and 30-d mortality rate was 2.4%. The NSQIP criteria identified 96.2% of major but only 38.4% of minor complications. N2QOD performed better, but almost one-fourth (23.2%) of all patients with adverse outcomes, mostly minor, went unnoticed. For NNAP, a sample size of over 4200 patients per surgeon is requ...Continue Reading

References

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Aug 6, 2015·Neurosurgery·Elina ReponenMiikka Korja
Aug 19, 2015·World Neurosurgery·Elina ReponenMiikka Korja
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Jul 14, 2016·Circulation. Cardiovascular Quality and Outcomes·Omar A JarralUNKNOWN United Kingdom and Republic of Ireland Consultant Cardiothoracic Surgeons
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Citations

Apr 3, 2020·Neurologia Medico-chirurgica·Koji IiharaUNKNOWN Japan Neurosurgical Society
Nov 5, 2021·Neurologia Medico-chirurgica·Koji IiharaUNKNOWN Japan Neurosurgical Society

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