Abstract
Managed care systems demand an increased effort in quality monitoring through the use of reliable instruments of performance evaluation. Comparison between units requires the definition and selection of proper indicators of quality. Outcome indicators are widely used in our practice but they need to be risk adjusted to prevent misleading information and unethical risk-averse behaviors. Regression analyses are commonly used for developing risk models. Bootstrap analysis can formalize the development of model building, removing much of the human biases associated with regression analysis and introducing a concrete measure of reliability of the risk factors. Recently published examples of comparisons of performance between different thoracic surgery units are summarized with the intent to provide a methodological template for future comparative audit investigations.
| Original language | English |
|---|---|
| Pages (from-to) | 413-424 |
| Number of pages | 12 |
| Journal | Thoracic Surgery Clinics |
| Volume | 17 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - Aug 2007 |
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ASJC Scopus subject areas
- Pulmonary and Respiratory Medicine
Cite this
The Comparison of Performance Between Thoracic Surgical Units. / Brunelli, Alessandro; Rocco, Gaetano.
In: Thoracic Surgery Clinics, Vol. 17, No. 3, 08.2007, p. 413-424.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - The Comparison of Performance Between Thoracic Surgical Units
AU - Brunelli, Alessandro
AU - Rocco, Gaetano
PY - 2007/8
Y1 - 2007/8
N2 - Managed care systems demand an increased effort in quality monitoring through the use of reliable instruments of performance evaluation. Comparison between units requires the definition and selection of proper indicators of quality. Outcome indicators are widely used in our practice but they need to be risk adjusted to prevent misleading information and unethical risk-averse behaviors. Regression analyses are commonly used for developing risk models. Bootstrap analysis can formalize the development of model building, removing much of the human biases associated with regression analysis and introducing a concrete measure of reliability of the risk factors. Recently published examples of comparisons of performance between different thoracic surgery units are summarized with the intent to provide a methodological template for future comparative audit investigations.
AB - Managed care systems demand an increased effort in quality monitoring through the use of reliable instruments of performance evaluation. Comparison between units requires the definition and selection of proper indicators of quality. Outcome indicators are widely used in our practice but they need to be risk adjusted to prevent misleading information and unethical risk-averse behaviors. Regression analyses are commonly used for developing risk models. Bootstrap analysis can formalize the development of model building, removing much of the human biases associated with regression analysis and introducing a concrete measure of reliability of the risk factors. Recently published examples of comparisons of performance between different thoracic surgery units are summarized with the intent to provide a methodological template for future comparative audit investigations.
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UR - http://www.scopus.com/inward/citedby.url?scp=35448965505&partnerID=8YFLogxK
U2 - 10.1016/j.thorsurg.2007.07.006
DO - 10.1016/j.thorsurg.2007.07.006
M3 - Article
C2 - 18072363
AN - SCOPUS:35448965505
VL - 17
SP - 413
EP - 424
JO - Thoracic Surgery Clinics
JF - Thoracic Surgery Clinics
SN - 1547-4127
IS - 3
ER -