Evaluation of Surgical Quality with a Focus on the Standardized Monitoring of Peri-Operative Morbidity and Mortality

• Main Author: Jelena, Ivanovic
• Other Authors: Seely, Andrew
• Language: en
• Published: Université d'Ottawa / University of Ottawa 2011
• Subjects: surgical quality; thoracic surgery; morbidity and mortality; classification system; needs assessment
• Online Access: http://hdl.handle.net/10393/20097; http://dx.doi.org/10.20381/ruor-4675

Objective: Evaluation of surgical quality ensures consistency of care and facilitates improvements in the quality of care delivered. Methods: An overview of surgical quality measurement is presented. A system for monitoring thoracic morbidity and mortality (TM&M) at the Ottawa Hospital is introduced and evaluated. Results of a needs assessment survey on the involvement in thoracic surgical research and quality improvement initiatives are presented. Results: Structure, process, and outcomes reflect different viewpoints on how to evaluate surgical quality. The feasibility of the TM&M system is evaluated using descriptive and univariate statistics, while its inter-rater reliability is assessed amongst the Canadian Association of Thoracic Surgeons. Conclusions: Outcomes have been fundamental in the evaluation of surgical quality. TM&M classification system advocates for a practice of continuous quality improvement and provides standardized and reliable feedback on surgical outcomes. Results of the needs assessment have built a strong foundation of knowledge on prospective ways to enhance the monitoring of surgical quality.