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Measuring outcomes for neurosurgical procedures.

Philip V Theodosopoulos1, Andrew J Ringer2

  • 1Department of Neurological Surgery, University of California, San Francisco, 505 Parnassus Avenue, M787, San Francisco, CA 94143, USA.

Neurosurgery Clinics of North America
|March 16, 2015
PubMed
Summary

Implementing a prospective outcomes initiative in surgery is crucial for demonstrating treatment efficacy and ensuring quality of care. This study shares key lessons learned from a multiyear effort to improve clinical outcomes.

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Area of Science:

  • Healthcare quality improvement
  • Surgical outcomes research

Background:

  • Healthcare evolution necessitates focus on clinical outcomes.
  • Surgical disciplines face increasing demands for treatment efficacy evidence.

Purpose of the Study:

  • To present experiences from a multiyear outcomes initiative.
  • To share lessons learned in implementing such an endeavor.
  • To emphasize essential structural elements for successful outcomes research.

Main Methods:

  • Multiyear implementation of a structured outcomes initiative.
  • Prospective study design for assessing postoperative outcomes.
  • Qualitative analysis of lessons learned during implementation.

Main Results:

Keywords:
Clinical outcomesComplication ratesMeasuring qualityOutcomeOutcome assessment

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  • Successful multiyear implementation of a surgical outcomes initiative.
  • Identification of critical structural components for outcomes research.
  • Valuable insights gained from prospective outcome assessment.

Conclusions:

  • Prospective study of postoperative outcomes is imperative for quality assessment.
  • A structured approach and defined elements are vital for successful outcomes initiatives.
  • Lessons learned can guide future efforts in surgical quality improvement.