Learning from the Best Leads to Superior Performance

Camp, Robert C.

doi:10.1108/eb039486

Cited by 69 publications

(43 citation statements)

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“…Die mit diesem Literaturüberblick vorgestellten Erfolgsraten ohne A-priori-Patientenselektion oder vorherige Optimierung der Versorgungssituation kön-nen als Orientierung für tatsächlich realisierte "durchschnittliche" Ergebnisqualität herangezogen werden, repräsentie-ren aber keine Benchmarks im Sinne von erreichbarer "guter" Versorgungsqualität. Die deutsche Studie optimiert hingegen die beeinflussbaren Versorgungsbedingungen im Sinne von "best practice" [7]. Die so erhobenen Benchmarks bilden aber nur einen Ausschnitt der Versorgungsrealität ab -sie können ausschließ-lich zur Evaluation von "best cases", die entsprechend der definierten Voraussetzungen diagnostiziert und operiert wurden (z.…”

Section: Konsequenz Für Qualitätssicherungsverfahrenunclassified

Ergebnisbezogene Erfolgsraten der Kataraktoperation

Hahn¹,

Krummenauer

Neuhann

2012

Ophthalmologe

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This systematic literature review, including 7 publications released since 2000, provides references for outcome indicators of cataract surgery for quality management initiatives. The reported relative numbers of cases achieving visual rehabilitation and refractive accuracy were determined and compared. With one exception the success rates did not represent benchmarks defined as best possible outcome but describe the results of data collected in a population during routine clinical practice. A best corrected visual acuity (BCVA) of ≥ 0.5 was achieved in 84-93% of all patients and in 95-99% of patients without preoperative visually impairing comorbidities. A refractive accuracy (absolute deviation of target refraction from spherical equivalent) of ≤ 1 D was reported in 72-97% of the patients. The success rates of these well established outcome indicator levels were high. Differences between operators were more distinguishable and the clinical relevance higher with less liberal indicator levels. A BCVA ≥ 1 was realized in 30-47% of all patients and in 52-62% of patients without visually impairing comorbidities. A total of 45-80% of the patients showed a refractive accuracy of ≤ 0.5 D. Exogenous factors not influencable by the surgeon have a relevant impact on the success rates. The literature review confirms the strong association of visually impairing comorbidities and BCVA outcome. Based on literature methodological problems of quality management systems for cataract surgery are discussed. While voluntary initiatives have the ability to solve these difficulties appropriate concepts for mandatory procedures are currently lacking.

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Section: Konsequenz Für Qualitätssicherungsverfahrenunclassified

Ergebnisbezogene Erfolgsraten der Kataraktoperation

Hahn¹,

Krummenauer

Neuhann

2012

Ophthalmologe

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“…Benchmarking is a levelcomparison methodology which employs a specifically tailored indicator system to compare the state of a sector in time and space [7]. The mechanism evaluates the future state, based on a condition system tailored for the present state.…”

Section: Methodsmentioning

confidence: 99%

Analysis of Circular Development and Investment Possibilities (Transport, Energy and Building) Related to International Sports Event Planning

Horváth

Fogarassy

2017

YBL Journal of Built Environment

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“…We primarily employ a mechanism which also evaluates future developments based on the condition system tailored for the present state of affairs. The reason for choosing this methodology is that benchmarking is an analysis which can be shaped at will, and tailored specifically to analysis goals [14,15]. Our analysis concluded this according to the cornerstones of the European Union's climate policy, taking the development processes of Hungary's agriculture which are currently underway into consideration.…”

Section: Methodsmentioning

confidence: 99%