Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Evaluation of Pelvic Pathology of Subfertile Women by Transvaginal Sonography and Correlation with Laparoscopic Findings.

Mymensingh medical journal : MMJ·2024

Same author

Assessment of Primary Hemostasis by Platelet Function Analyzer-100 and its Relation with TSH and FT₄ Levels in Newly Diagnosed Overt and Subclinical Hypothyroid Patients.

Mymensingh medical journal : MMJ·2024

Same author

Measuring the effectiveness of an integrated intervention package to improve the level of infection prevention and control: a multi-centre study in Bangladesh.

The Journal of hospital infection·2023

Same author

Study on Blood Pressure, e-GFR, Serum Albumin, C-reactive Protein in Normal Subjects and Patients with CKD.

Mymensingh medical journal : MMJ·2023

Same author

Design and operation of a hybrid LED/LD-pumped phosphor-converted white-light lamp.

Applied optics·2023

Same author

Synthesis and antibacterial activity of nanoenhanced conjugate of Ag-doped ZnO nanorods with graphene oxide.

Spectrochimica acta. Part A, Molecular and biomolecular spectroscopy·2023

Same journal

Neoadjuvant tyrosine kinase inhibitor therapy for locally advanced, well-differentiated thyroid cancer.

The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·2026

Same journal

Post-Endovascular Aneurysm Repair surveillance in the United Kingdom: A survey of current clinical practice.

The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·2026

Same journal

Compatibility of family life with an academic career in plastic surgery: A European comparison.

The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·2026

Same journal

Barriers to operative exposure in foundation training.

The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·2026

Same journal

Mesenteric preservation vs extended mesenteric excision in Crohn's disease: A systematic review and meta-analysis.

The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·2026

Same journal

The effect of a national healthcare cyberattack on the Irish hip fracture standards.

The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·2026

See all related articles

Search research articles

Related Experiment Video

Updated: Apr 18, 2026

Utilizing a 3D Printed Laparoscopic Nissen Fundoplication Model to Shorten a Resident's Learning Curve

Utilizing a 3D Printed Laparoscopic Nissen Fundoplication Model to Shorten a Resident's Learning Curve

Published on: August 15, 2025

Measuring surgical performance: A risky game?

F Kiernan¹, F Rahman²

¹Royal College of Surgeons of Ireland, Beaumont Hospital, Dublin 9, Ireland.

The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland

|February 2, 2015

Summary

This summary is machine-generated.

Performance measurement in hospitals, particularly surgery, aims for quality improvement. However, using mortality rates as a sole indicator risks inaccurate assessments and requires careful public communication.

Keywords:

Gaming Mortality Outcomes Performance measurement Reporting Risk-adjustment

More Related Videos

Simulator Training for Endovascular Neurosurgery

Simulator Training for Endovascular Neurosurgery

Published on: May 6, 2020

Pedicle Screw Placement Using an Augmented Reality Head-Mounted Display in a Porcine Model

Pedicle Screw Placement Using an Augmented Reality Head-Mounted Display in a Porcine Model

Published on: May 24, 2024

Related Experiment Videos

Last Updated: Apr 18, 2026

Utilizing a 3D Printed Laparoscopic Nissen Fundoplication Model to Shorten a Resident's Learning Curve

Utilizing a 3D Printed Laparoscopic Nissen Fundoplication Model to Shorten a Resident's Learning Curve

Published on: August 15, 2025

Simulator Training for Endovascular Neurosurgery

Simulator Training for Endovascular Neurosurgery

Published on: May 6, 2020

Pedicle Screw Placement Using an Augmented Reality Head-Mounted Display in a Porcine Model

Pedicle Screw Placement Using an Augmented Reality Head-Mounted Display in a Porcine Model

Published on: May 24, 2024

Area of Science:

Healthcare quality assessment
Surgical outcomes research

Background:

Growing demand for hospital quality indicators drives interest in performance measurement.
Policy makers seek to benchmark care standards and enhance transparency and accountability.

Purpose of the Study:

To examine the role of performance measurement in healthcare systems.
To address concerns regarding the use of mortality as a primary outcome measure in surgical performance assessment.

Main Methods:

Review of performance measurement principles and applications in healthcare.
Analysis of the suitability of mortality as a quality indicator in surgery.
Consideration of risk adjustment and public reporting of surgical outcomes.

Main Results:

Performance measurement guides resource allocation and quality improvement efforts.
Mortality rates are an imperfect measure of surgical quality, susceptible to gaming and cream-skimming without accurate risk adjustment.
Public reporting of surgical mortality data poses risks to surgeon reputation.

Conclusions:

Mortality rates are an inadequate proxy for surgical quality.
Public release of surgical mortality data requires careful communication to mitigate reputational damage.
Accurate risk adjustment is crucial for valid performance measurement in surgery.