Purpose: The article aims to evaluate methods currently used to monitor surgical performance. Different model’s advantages and limitations are analyzed to possibly identify the best model of assessment. Design/Methodology/Approach: An extensive online research took place, looking in particular for articles containing terms such as ‘surgical performance monitoring’, ‘forced ranking’, and ‘surgical outcomes’. The search was independently carried out by three medical doctors. References were screened to find more articles on this particular topic. A conceptual review was then performed. Findings: Among the current available methods, the RiskAdjusted Bernoulli Cumulative Sum (RA-CUSUM), set on a real time prospective monitoring, is preferred and might improve surgical outcomes. This is especially true when the RA-CUSUM is compared with the Variable Life Adjusted Display (VLAD) retrospective model, although VLAD is easier to interpret and it is more frequently used by surgeons. Practical Implications: Applying a standardized surgical performance assessment model identifies and manages practice variations in the same institution and among hospitals. Originality/value: RA-CUSUM applied to surgical practice can be an effective tool to determine variations in performance. You can submit your Manuscripts at: https://symbiosisonlinepublishing.com/submitManuscript.php
Comments: 3 Pages.
[v1] 2017-08-24 02:41:23
Unique-IP document downloads: 13 times
Vixra.org is a pre-print repository rather than a journal. Articles hosted may not yet have been verified by peer-review and should be treated as preliminary. In particular, anything that appears to include financial or legal advice or proposed medical treatments should be treated with due caution. Vixra.org will not be responsible for any consequences of actions that result from any form of use of any documents on this website.
Add your own feedback and questions here:
You are equally welcome to be positive or negative about any paper but please be polite. If you are being critical you must mention at least one specific error, otherwise your comment will be deleted as unhelpful.