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Using Learning Outcome Measures to assess Doctoral Nursing Education
10:07

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Published on: June 21, 2010

Volume, outcome, and policy.

Mark A Hlatky1

  • 1Stanford University School of Medicine, HRP Redwood Building, Rm. T150, 259 Campus Drive, Stanford, CA 94305-5405, USA. hlatky@stanford.edu

Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing
|December 19, 2012
PubMed
Summary
This summary is machine-generated.

Physician procedure volume impacts patient outcomes. Higher volumes correlate with better results and fewer complications, especially for implantable defibrillators, challenging current training standards.

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14:32

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Published on: February 16, 2011

Area of Science:

  • Medical research
  • Health outcomes
  • Surgical proficiency

Background:

  • Physician procedure volume is critical for skill acquisition and maintenance.
  • Current training volume standards lack robust data and are opinion-based.
  • Existing evidence suggests a link between higher procedure volumes and improved clinical outcomes.

Purpose of the Study:

  • To examine the relationship between procedure volume and clinical outcomes.
  • To evaluate the impact of volume on complication rates for specific procedures.
  • To discuss policy implications of volume-outcome relationships.

Main Methods:

  • Review of existing data on procedure volume and clinical outcomes.
  • Analysis of complication rates associated with varying procedure volumes.
  • Discussion of policy and training standard implications.

Main Results:

  • Higher procedure volumes in hospitals and physicians are associated with better patient outcomes.
  • Increased volume for implantable defibrillator procedures correlates with reduced short-term complication rates.
  • Data challenges the basis of current volume standards for medical training.

Conclusions:

  • Procedure volume is a significant predictor of clinical outcomes.
  • Evidence supports higher volume targets for improving patient safety and care quality.
  • Current training policies may need revision based on volume-outcome data.