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
Table of Contents
Nomenclature for Pediatric and Congenital Cardiac Care: Unification of Clinical and Administrative Nomenclature
Databases for Pediatric and Congenital Cardiac Care
Fundamental Concepts in Patient Safety
Intensive Care of Patients with Pediatric and Congenital Heart Disease
Surgery for Pectus Deformities
Blood Conservation in Cardiac Surgery - Managing Risks and Benefits
Regenerative Medicine
Neurologic Complications of Cardiac Surgery
Surgical Management of Squamous Cell Carcinoma
The History of Cardiac Surgery
Role of Sublobar Resection (Segmentectomy and Wedge Resection) in the Surgical Management of Non-Small Cell Lung Cancer
History and Development of General Thoracic Surgery
Surgical Treatment of Ischemic Mitral Regurgitation
Ventricular Septal Defects (VSD)
Postoperative Care of the Cardiac Surgical Patient
Ethical Issues in Pediatric and Congenital Cardiac Surgery
Engaging Patients and Families in their Pediatric and Congenital Cardiac Care
Aortic Valve Replacement (Mechanical, Bioprosthetic, Stentless)
Introduction to Transesophageal Echocardiography
Pericardial Disease
Surgical Treatment of Atrial Fibrillation
Principles of Postoperative Care
Preoperative Assessment of the Thoracic Surgical Patient
Lung Transplantation
Multidetector CT in Cardiothoracic Surgery
Concomitant Coronary Artery and Carotid Disease
Aortic Valve Repair and Valve-Sparing Aortic Root Replacement
Cardiac Pharmacology
Ascending Aortic Aneurysm/Type A Dissection
Complications of Esophageal Resection
Preoperative Assessment for CABG/PCI
Hypoplastic Left Heart Syndrome (HLHS)
Mitral Valve Repair
Perioperative Pain Management
Approach to Patients and Families
Congenital Coronary Artery Anomalies
Histopathology of Gastroesophageal Reflux Disease and Barrett's Esophagus
Thymic Neoplasms - A Comprehensive Review of the Diagnosis, Classification, and Treatment