surgery

Weighing the Need for Surgical Volume Thresholds

Weighing the Need for Surgical Volume Thresholds

Posted by  | Preventing Patient Harm

In May, three academic medical systems turned up the heat on a long-simmering debate about the link between surgical volumes and quality of care. Leaders from Dartmouth-Hitchcock Medical Center, the University of Michigan Health System and the Johns Hopkins Health System declared that their surgeons would need to meet annual volume thresholds for 10 high-risk(...)

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Can Hospitals Police Themselves to Avoid Too-Risky Surgeries?

Can Hospitals Police Themselves to Avoid Too-Risky Surgeries?

Posted by  | Measurement of Safety and Quality, Preventing Patient Harm

Imagine you were seeking major surgery, and the hospital's consent form contained this surprise statement, which you were asked to initial: "I understand that this surgeon and hospital have not performed this procedure in the last 12 months. As such, I accept the greater risk of complications and even death." It's hard to believe that(...)

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