Quality Measurement in Cardiac Surgery
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Quality Measurement in Cardiac Surgery- History of Quality Measurement in Cardiac Surgery
- Release of Unadjusted Coronary Artery Bypass Grafting Outcomes by the Federal Government
- The Society of Thoracic Surgeons Response
- Development of the Society of Thoracic Surgeons Database
- Society of Thoracic Surgeons Risk Models
- Confidential Feedback of Society of Thoracic Surgeons Results to Database Participants
- Regional Data-Driven Collaboratives and Performance Improvement
- Public Reporting
- State Public Reporting Initiatives
- Society of Thoracic Surgeons Voluntary Public Reporting
- Public Reporting and Outcomes Improvement
- Gaming
- Risk aversion
- Enhanced risk awareness leads to better patient-provider matching
- Mitigation of risk aversion: the percutaneous coronary intervention experience
- Monitoring unintended negative consequences of public reporting
- General Principles of Quality Measurement
- The Donabedian Triad—Structure, Process, and Outcomes
- Types of Outcomes Measures
- Composite Measures
- Balancing Measures
- Performance Measure Standards
- Considerations in Outcomes Measure Development and Use
- Data Source
- Duration of Patient Observation
- Duration of Provider Observation
- Risk Models
- Outlier determination
- The STS Portfolio of Composite Measures
- Proper Interpretation of Indirectly Standardized Healthcare Outcomes Measures
- Patient-Friendly Presentation of Results
- The Ultimate Goal--Improved Outcomes
- Data Quality and Audit
- Sample Size
- Random Sampling Variation at Low Volumes
- Mitigation of Sample Size Issues
- Endpoint Frequency
- Measure Reliability
- Selection of Appropriate Diagnoses, Conditions, or Procedures
- Level of Attribution
- Society of Thoracic Surgeons Pediatric and Congenital Cardiac Surgery Performance Measurement
- Future Enhancements
- References
- Nomenclature for Pediatric and Congenital Cardiac Care: Unification of Clinical and Administrative Nomenclature
- Table of Contents
- Databases for Pediatric and Congenital Cardiac Care
- Fundamental Concepts in Patient Safety
- Intensive Care of Patients with Pediatric and Congenital Heart Disease
- Blood Conservation in Cardiac Surgery - Managing Risks and Benefits
- Regenerative Medicine
- Neurologic Complications of Cardiac Surgery
- Surgical Treatment of Ischemic Mitral Regurgitation
- The History of Cardiac Surgery
- Ventricular Septal Defects (VSD)
- Engaging Patients and Families in their Pediatric and Congenital Cardiac Care
- Ethical Issues in Pediatric and Congenital Cardiac Surgery
- Introduction to Transesophageal Echocardiography
- Postoperative Care of the Cardiac Surgical Patient
- Aortic Valve Replacement (Mechanical, Bioprosthetic, Stentless)
- Multidetector CT in Cardiothoracic Surgery
- Surgical Treatment of Atrial Fibrillation
- Aortic Valve Repair and Valve-Sparing Aortic Root Replacement
- Concomitant Coronary Artery and Carotid Disease
- Cardiac Pharmacology
- Ascending Aortic Aneurysm/Type A Dissection
- Preoperative Assessment for CABG/PCI
- Hypoplastic Left Heart Syndrome (HLHS)
- Mitral Valve Repair
- Approach to Patients and Families
- Congenital Coronary Artery Anomalies