Monitoring Surgical Performance: Current Models and Limitations

Authors: Agostino Pozzi, Laetitia F Colombo, Francesca De Stefano, Alessandra Sala, Marco Bartolucci, Fabio Villa

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:

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[v1] 2017-08-24 02:41:23

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