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Evidence that surgical performance predicts clinical outcomes
1Division of Urology, Department of Surgery, University of Toronto, 149 College Street, Toronto, ON, M5T 1P5, Canada. mitchell.goldenberg@one-mail.on.ca.
World Journal of Urology
|July 1, 2019
Summary
Surgeon performance directly impacts patient outcomes in surgery. Objective measurement of surgical skill, using techniques like AI, can improve quality and surgeon training.
Area of Science:
- Surgical Quality Improvement
- Medical Performance Measurement
- Surgical Education
Background:
- Assessing surgeon performance in the operating room is a direct method for measuring surgical quality.
- Existing research in urology and other surgical fields links surgeon and team performance to patient outcomes.
- Validity evidence supports methodologies for performance measurement in surgery.
Purpose of the Study:
- To review the relationship between surgeon performance and patient outcomes in surgical disciplines.
- To highlight key findings from studies investigating surgeon performance measurement.
- To discuss underlying concepts and current efforts in understanding this performance-outcome link.
Main Methods:
- Review of seminal literature from urology and related research areas.
- Analysis of current efforts to understand the performance-outcome relationship in surgery.
- Discussion of quality improvement and educational interventions utilizing performance data.
Main Results:
- Evidence across multiple surgical specialties confirms the association between surgeon skill and patient outcomes.
- Novel performance measurement techniques, including surgeon kinematics and artificial intelligence, offer objective quantification.
- These advanced methods enhance the reliability of surgical performance assessment.
Conclusions:
- Data from performance assessments can drive quality improvement initiatives.
- Objective performance metrics can innovate surgeon credentialing and recertification processes.
- Future research should focus on integrating performance data into surgical practice and training.
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