Evaluation of Surgical Quality with a Focus on the Standardized Monitoring of Peri-Operative Morbidity and Mortality

Evaluation of Surgical Quality with a Focus on the Standardized Monitoring of Peri-Operative Morbidity and Mortality

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Titre: Evaluation of Surgical Quality with a Focus on the Standardized Monitoring of Peri-Operative Morbidity and Mortality
Auteur: Jelena, Ivanovic
Résumé: Objective: Evaluation of surgical quality ensures consistency of care and facilitates improvements in the quality of care delivered. Methods: An overview of surgical quality measurement is presented. A system for monitoring thoracic morbidity and mortality (TM&M) at the Ottawa Hospital is introduced and evaluated. Results of a needs assessment survey on the involvement in thoracic surgical research and quality improvement initiatives are presented. Results: Structure, process, and outcomes reflect different viewpoints on how to evaluate surgical quality. The feasibility of the TM&M system is evaluated using descriptive and univariate statistics, while its inter-rater reliability is assessed amongst the Canadian Association of Thoracic Surgeons. Conclusions: Outcomes have been fundamental in the evaluation of surgical quality. TM&M classification system advocates for a practice of continuous quality improvement and provides standardized and reliable feedback on surgical outcomes. Results of the needs assessment have built a strong foundation of knowledge on prospective ways to enhance the monitoring of surgical quality.
Date: 2011
URI: http://hdl.handle.net/10393/20097
Superviseur: Seely, Andrew
Ramsay, Tim
Faculté: Médecine / Medicine
Degré: msc

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