Surgical Mortality as an Indicator of Hospital Quality
Authors:
- Justin B. DimickJDJustin B. Dimick
- H. Gilbert WelchHWH. Gilbert Welch
- John D. BirkmeyerJBJohn D. Birkmeyer
Top Cited Papers
Open Access
- 18 August 2004
- journal article
- research article
- Published by American Medical Association (AMA) in JAMA
- Vol. 292 (7) , 847-851
Abstract
Patients and policy makers increasingly use rates of surgical mortality to assess hospital performance. New York and Pennsylvania have long-standing systems for tracking and publicly reporting risk-adjusted mortality rates after cardiac surgery1,2; California and New Jersey have more recently adopted this approach.3,4 The Leapfrog Group, a large coalition of employers and purchasers, has made surgical mortality rates one of the criteria for "evidence-based referral" for cardiac procedures.5 As part of its broader efforts to develop a core set of quality indicators, the Agency for Healthcare Research and Quality (AHRQ) has recently endorsed the use of surgical mortality rates for 7 surgical procedures including repair of abdominal aortic aneurysm, esophageal resection, and hip replacement.6Keywords
This publication has 2 references indexed in Scilit:
- Surgeon Volume and Operative Mortality in the United StatesNew England Journal of Medicine, 2003
- The Comparative Assessment and Improvement of Quality of Surgical Care in the Department of Veterans AffairsArchives of Surgery, 2002