Morbidity and mortality in vascular surgery: the Kentucky experience with a statewide database.
Am Surg
; 72(11): 1109-11; discussion 1126-48, 2006 Nov.
Article
em En
| MEDLINE
| ID: mdl-17120956
ABSTRACT
Efforts at improvement in quality of care for surgical patients have required multiple strategies that include local, regional, and national efforts to influence processes and outcomes, and examination of outcome databases with and without risk stratification. In the mid to late 1980s, there was an effort to examine the outcome of two high-risk procedures (carotid endarterectomy and abdominal aortic aneurysm repair) on all Medicare patients in the state of Kentucky with an effort to determine the outcome of their treatment and improve the quality of care delivered to them. Even though this experience is somewhat dated, it still represents a unique examination of a large number of patients treated by numerous surgeons. Furthermore, all charts reviewed by the author presented an opportunity to compare actual patient data with that obtained from an administrative data set. This report also examines the author's attempts at improving outcome.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Doenças Vasculares
/
Procedimentos Cirúrgicos Vasculares
Tipo de estudo:
Clinical_trials
/
Etiology_studies
Limite:
Humans
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Am Surg
Ano de publicação:
2006
Tipo de documento:
Article
País de afiliação:
Estados Unidos