Related Experiment Video
Updated: Sep 27, 2025

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Value in acute care surgery, part 2: Defining and measuring quality outcomes
Samuel Wade Ross1, Michael W Wandling, Brandon R Bruns
1From the Division of Acute Care Surgery, Department of Surgery (S.W.R.), Atrium Health Carolinas Medical Center, Wake Forest School of Medicine, Charlotte, North Carolina; Division of Acute Care Surgery, Department of Surgery (M.W.W.), The University of Texas Health Sciences Center at Houston, Houston, Texas; Division of Burns, Trauma, Acute, and Critical Care Surgery, Department of Surgery (B.R.B., J.P.M.), University of Texas Southwestern School of Medicine, Dallas, Texas; Division of Acute Care Surgery, Department of Surgery (R.S.M.), Wake Forest School of Medicine, Winston-Salem, North Carolina; Division of Acute Care Surgery, Department of Surgery (J.W.S.), University of Michigan, Ann Arbor, Michigan; Division of Trauma, Surgical Critical Care, Burns and Acute Care Surgery, Department of Surgery (J.J.D.), University of California San Diego, San Diego California, California; Division of General Surgery, Trauma and Surgical Critical Care, Department of Surgery (K.A.D.), Yale School of Medicine, New Haven, Connecticut; and Division of Acute Care Surgery, Department of Surgery (K.L.S.), Stanford University, Stanford, California.
Abstract:
The prior article in this series delved into measuring cost in acute care surgery, and this subsequent work explains in detail how quality is measured. Specifically, objective quality is based on outcome measures, both from administrative and clinical registry databases from a multitude of sources. Risk stratification is key in comparing similar populations across diseases and procedures. Importantly, a move toward focusing on subjective outcomes like patient-reported outcomes measures and financial well-being are vital to evolving surgical quality measures for the 21st century.
Related Concept Videos
Guidelines for Writing Outcome
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Peripheral Artery Disease V: Postoperative Nursing Management
Appendicitis-II: Diagnostic Studies and Management
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Nursing Evaluation
Standards of Care II
Endoscopic Studies II: Thoracocentesis
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...

