SE21 THE VALUE OF CLINICAL INDICATORS IN SETTING STANDARDS OR IMPROVING CLINICAL OUTCOMES
| العنوان: | SE21 THE VALUE OF CLINICAL INDICATORS IN SETTING STANDARDS OR IMPROVING CLINICAL OUTCOMES |
|---|---|
| المؤلفون: | Spencer W. Beasley |
| المصدر: | ANZ Journal of Surgery. 77:A81-A81 |
| بيانات النشر: | Wiley, 2007. |
| سنة النشر: | 2007 |
| مصطلحات موضوعية: | medicine.medical_specialty, Pediatrics, business.industry, medicine.medical_treatment, General surgery, Confounding, Specialty, General Medicine, Pyloromyotomy, medicine.disease, Pyloromyotomies, Pyloric stenosis, Atresia, medicine, Surgery, Outcome data, Leak rate, business |
| الوصف: | Purpose The Australasian Association of Paediatric Surgeons (AAPS) has collected Clinical Indicator (CI) data from virtually all the paediatric surgical institutions of Australia and New Zealand for the last five years. These CI’s were modified and expanded from the original ACHS/RACS specialty specific CI’s. This study reviews the CI data to determine the extent to which they have set standards or influenced the management of several paediatric surgical conditions. Methodology Analysis of AAPS CI data for pyloric stenosis, intussusception, appendicectomy and oesophageal atresia collected between 2001–2005 inclusive, and comparison with published outcome data for the same conditions. Results To date, the data have been accessed only rarely. For some of the CI’s, eg duodenal perforation during pyloromyotomy, the numbers have established a reliable benchmark rate (1.55% of 581 pyloromyotomies), and have already proved useful in the reconfiguration of services. For others, eg leak rate after repair of oesophageal atresia, the small numbers and complexity of confounding variables mean that they are unlikely to have any longterm value or application. Conclusion Well constructed CI’s provide data that can been useful to improve clinical outcomes. However, regular review is required to identify those that are unlikely to have useful application so they can be removed. |
| تدمد: | 1445-2197 1445-1433 |
| DOI: | 10.1111/j.1445-2197.2007.04129_21.x |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::e8740810ee92be1cb5df907bdc13415e https://doi.org/10.1111/j.1445-2197.2007.04129_21.x |
| Rights: | CLOSED |
| رقم الانضمام: | edsair.doi...........e8740810ee92be1cb5df907bdc13415e |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14452197 14451433 |
|---|---|
| DOI: | 10.1111/j.1445-2197.2007.04129_21.x |