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R D Staiger1, H Schwandt2,3, M A Puhan4

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This study proposes a standard approach for surgical benchmarking to improve patient outcomes. It focuses on identifying best achievable results to encourage surgeons toward perfection.

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Area of Science:

  • Healthcare Quality Improvement
  • Surgical Outcomes Research
  • Performance Measurement in Medicine

Background:

  • Benchmarking, a quality-improvement tool from economics, involves comparing performance against the best.
  • Healthcare benchmarking often compares against average results, not necessarily the best achievable outcomes.
  • Improving patient outcomes remains the central goal of healthcare benchmarking.

Purpose of the Study:

  • To outline the application of benchmarking in surgical practice.
  • To propose a standardized method for determining surgical benchmarks.
  • To establish best achievable real-world postoperative outcomes for surgical quality assessment.

Main Methods:

  • Defining parameters for benchmark determination: must be reproducible, objective, and universal.
  • Implementing a systematic approach for benchmark establishment in surgery.
  • Focusing on identifying best achievable real-world postoperative outcomes.

Main Results:

  • A systematic approach enables self-assessment of surgical outcomes.
  • Facilitates the identification of specific areas for improvement in surgical practice.
  • Establishes objective criteria for evaluating surgical performance.

Conclusions:

  • A standardized benchmarking approach can drive surgical excellence.
  • The goal is to foster a genuine endeavor for perfection among surgeons.
  • Benchmarking should focus on improvement rather than judging individual performance.