Renewal of surgical quality and safety initiatives: a multispecialty challenge

Mayo Clinic Proceedings
Hiram C Polk

Abstract

The quality and safety movement in surgical specialty practice is gaining momentum. On the basis of risk-adjusted outcomes of coronary artery surgery and the improved risk assessment in the Veterans Affairs system, a growing array of surgical specialists has focused on recognition of legitimate risk factors, identification of performance measures that are valid surrogates for better practices, and refinement of risk-adjusted outcomes. Recognition of educational needs, personal practice patterns, and systems deficiencies now permits a broad-based application of long-standing primarily medical issues to elective surgical procedures in an organized and Integrated fashion. Approximately 85,000 patients per day undergo elective operations in the United States. A platform based on physician involvement and leadership has been tested in the Surgical Care Improvement Project, funded by a subcontract from the Centers for Medicare and Medicaid Services. This effort has defined factors worthy of further verification and provides a framework for an ethical and valid pay-for-performance scheme.

References

Sep 1, 1991·Journal of Clinical Anesthesia·R L Keenan, C P Boyan
Sep 19, 1980·JAMA : the Journal of the American Medical Association·H C PolkM P Finn
Oct 19, 2001·Mayo Clinic Proceedings·R D Miller, W L Lanier
Jul 24, 2002·American Journal of Surgery·Jeff W Allen, Kenneth J DeSimone
Jul 1, 1964·Archives of Surgery·H C POLKH R BUTCHER
Feb 11, 2004·Archives of Surgery·Michael H McCafferty, Hiram C Polk
May 29, 2004·Annals of Surgery·Eugene H ShivelyHiram C Polk
Jun 11, 2005·Mayo Clinic Proceedings·Ognjen GajicJuraj Sprung
Jun 11, 2005·Mayo Clinic Proceedings·Amir K JafferDaniel J Brotman
Jun 24, 2005·American Journal of Surgery·E Patchen DellingerJonathan R Sugarman
Jun 24, 2005·American Journal of Surgery·Hiram C Polk
Jul 9, 2005·Critical Care Medicine·Matthias TurinaHiram C Polk
Jul 29, 2005·The New England Journal of Medicine·Peter K LindenauerEvan M Benjamin
Aug 27, 2005·The Annals of Thoracic Surgery·David M ShahianSharon-Lise T Normand
Sep 2, 2005·Annals of Surgery·Hiram C Polk
Nov 23, 2005·Archives of Surgery·Hiram C Polk
Jun 15, 2006·Annals of Surgery·Matthias TurinaHiram C Polk

❮ Previous
Next ❯

Citations

Jul 13, 2006·Surgical Infections·Mark A MalangoniJoshua A Urban
Dec 24, 2011·The Spine Journal : Official Journal of the North American Spine Society·Brook I MartinRichard A Deyo
Oct 14, 2008·Surgery·Motaz QadanHiram C Polk
Mar 27, 2007·Journal of the American College of Surgeons·Terry AltpeterHiram C Polk
Nov 28, 2006·Pediatric Clinics of North America·Paul J Sharek, David Classen
Mar 6, 2010·Applied Ergonomics·Douglas A WiegmannThoralf M Sundt
Aug 30, 2008·The Annals of Thoracic Surgery·Stephen D CassiviClaude Deschamps
May 15, 2007·Plastic and Reconstructive Surgery·Rajiv Y Chandawarkar
Feb 4, 2010·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Vivek K MoitraBobbieJean Sweitzer
Mar 12, 2019·Western Journal of Nursing Research·Claudia TeunissenVirginia Maskill
Nov 24, 2006·The American Surgeon·William L Lanier

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.