By Michael W Mulholland, Gerard A Doherty
This quantity bargains authoritative, evidence-based concepts for combating and handling problems in all present normal surgical procedure methods. the hole sections talk about institutional danger administration matters and hazards universal to all operations, equivalent to wound therapeutic difficulties, an infection, surprise, and problems in immunosuppressed sufferers. next sections concentrate on problems of particular approaches in thoracic, vascular, gastric, endocrine, breast, and oncologic surgical procedure, in addition to organ transplantation and pediatric surgical procedure. for every approach, the authors speak about surgical targets, anticipated results, preoperative id of threat components, intraoperative process, and postoperative threat. quite a few decision-making algorithms, drawings of concepts, and tables supplement the textual content.
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Additional resources for Complications in Surgery, 5th edition
In this chapter the evidence linking structure and process measures to surgical outcomes is reviewed. Policy implications of using structure and process measures to reflect surgical quality are then considered. EVIDENCE LINKING STRUCTURE OF CARE TO SURGICAL OUTCOMES Structural measures include a broad list of variables reflecting the setting or system in which care is delivered. Many of these variables are best considered at the hospital level, reflecting, directly or indirectly, its physical plant and resources or staff coordination and organization.
Recently, two structured literature reviews have synthesized this large body of work (12,13), each supporting the premise that high-volume hospitals have substantially lower mortality rates with many surgical procedures. Dudley et al. performed a systematic literature search to identify all studies published between 1988 and 1998 examining correlations between hospital volume and mortality for numerous surgical and medical conditions (13). After applying several additional methodologic criteria, the authors identified 72 articles addressing 40 different procedures and diagnoses.
RECERTIFICATION The certificate issued by the Board is valid for up to 10 years. In order to maintain certification, a recertification exam is required. This exam can be taken as early as 7 years following certificate issuance but no later than 10. According to the ABS, â The purpose of Recertification is to demonstrate to the profession and the public, through periodic evaluations, that the surgical specialist has maintained continuing qualifications on a currently acceptable level in the Diplomat's chosen area of practice.