Debate: what is the best method to monitor surgical performance?
dc.contributor.author | Steiner, Stefan H. | en |
dc.contributor.author | Woodall, William H. | en |
dc.date.accessioned | 2016-10-25T13:24:39Z | en |
dc.date.available | 2016-10-25T13:24:39Z | en |
dc.date.issued | 2016-04-05 | en |
dc.description.abstract | Background There is considerable recent interest in the monitoring of individual surgeon or hospital surgical outcomes. If one aggregates data over time and assesses performance with a funnel plot, then the detection of any process deterioration or improvement could be delayed. The variable life adjusted display (VLAD) is widely used for monitoring on a case-by-case basis, but we show that use of the risk-adjusted Bernoulli cumulative sum (RA-CUSUM) chart leads to much better performance. Discussion We use simulation to illustrate that the RA-CUSUM chart has better performance than the VLAD in detecting changes in the rates of adverse events. Summary We recommend the RA-CUSUM approach over the VLAD approach for monitoring surgical performance. If the VLAD is used, we recommend running the RA-CUSUM chart in the background to generate signals that the process performance has changed. | en |
dc.description.version | Published version | en |
dc.format.extent | 4 pages | en |
dc.format.mimetype | application/pdf | en |
dc.identifier.citation | BMC Surgery. 2016 Apr 05;16(1):15 | en |
dc.identifier.doi | https://doi.org/10.1186/s12893-016-0131-8 | en |
dc.identifier.issn | 1471-2482 | en |
dc.identifier.uri | http://hdl.handle.net/10919/73325 | en |
dc.identifier.volume | 16 | en |
dc.language.iso | en | en |
dc.publisher | Biomed Central | en |
dc.relation.uri | http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000373322100001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=930d57c9ac61a043676db62af60056c1 | en |
dc.rights | Creative Commons Attribution 4.0 International | en |
dc.rights.holder | Steiner and Woodall. | en |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | en |
dc.subject | Surgery | en |
dc.subject | DETECTING CHANGES | en |
dc.title | Debate: what is the best method to monitor surgical performance? | en |
dc.title.serial | BMC Surgery | en |
dc.type | Article - Refereed | en |
dc.type.dcmitype | Text | en |
pubs.organisational-group | /Virginia Tech | en |
pubs.organisational-group | /Virginia Tech/All T&R Faculty | en |
pubs.organisational-group | /Virginia Tech/Science | en |
pubs.organisational-group | /Virginia Tech/Science/COS T&R Faculty | en |
pubs.organisational-group | /Virginia Tech/Science/Statistics | en |
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