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Abstract
In this expository paper, we review methods for monitoring medical outcomes with a focus on surgical quality. We discuss the importance and role of risk adjustment. We give the advantages and disadvantages of various competing surveillance methods. We provide an extensive literature review and give some ideas for future research. In addition, we describe the highly effective American College of Surgeons National Surgical Quality Improvement Program (NSQIP), which offers data-based benchmarking of participating hospitals and provides information on best surgical practices. A case study illustrates improvements of mortality and surgical-site infection rates based on the NSQIP approach.
Additional information
Notes on contributors
William H. Woodall
Dr. Woodall is Professor in the Department of Statistics at Virginia Tech. He is a Fellow of ASQ. His email address is [email protected].
Sandy L. Fogel
Dr. Fogel is NSQIP Surgeon Champion at the Carilion Clinic. His email address is [email protected].
Stefan H. Steiner
Dr. Steiner is Professor in the Department of Statistics and Actuarial Science at the University of Waterloo. He is a Fellow of ASQ. His email address is [email protected].
