Surgical quality improvement: a simplified method to apply national standards to pediatric trauma care

Leaphart, Cynthia L.; Graham, Darrell; Pieper, Pam; Celso, Brian G.; Tepas, Joseph J.

doi:10.1016/j.jpedsurg.2008.10.119

Cited by 5 publications

(3 citation statements)

References 13 publications

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“…Meeting the standards of this area is highly effective in preventing infections and implementing control programs. [4243] Today, prevention and control of infections and addressing their related problems are considered as a major issue in patient safety. Therefore, some countries have developed strategies for improving patient safety by the standards of prevention and control of infections.…”

Section: Discussionmentioning

confidence: 99%

Assessing the service quality of Iran military hospitals: Joint Commission International standards and Analytic Hierarchy Process (AHP) technique

Bahadori

Ravangard

Yaghoubi

et al. 2014

J Edu Health Promot

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Section: Discussionmentioning

confidence: 99%

Assessing the service quality of Iran military hospitals: Joint Commission International standards and Analytic Hierarchy Process (AHP) technique

Bahadori

Ravangard

Yaghoubi

et al. 2014

J Edu Health Promot

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“…ICISS has been used and evaluated several times at the international level, European level and in a nationally in Sweden. [47][48][49][50][51][52][53] A recent meta-analysis has also supported its use to assess trauma mortality. 48 The way to calculate ICISS is by either using someone's Diagnosis-Specific Survival Probabilities (DSP) or to calculate your own database.…”

Section: International Classification Of Disease Injury Severity Scormentioning

confidence: 99%

Risk-Adjustment for Swedish In-Hospital Trauma Mortality using International Classification of disease Injury Severity Score (ICISS) : issues with description and methods

Larsen

2019

Linköping University Medical Dissertations

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1ABSTRACT Introduction Different methods have been used to describe the epidemiology of trauma with varying results. Crude mortality outcome data differ significantly from risk-adjusted information. A previous standard method for risk-adjustment in trauma was the Injury Severity Score (ISS), although it has several shortcomings. In this thesis I examine Swedish injury statistics from an epidemiological perspective using crude and risk-adjusted mortality, and to adjust for injury I used the International Classification of disease Injury Severity Score (ICISS). The groups of most lethal injuries (fall, traffic, and assault) were examined separately using an ICISS mortality prediction model that focused particularly on the effects on the prediction of mortality by adding coexisting conditions (comorbidity) to it. Differences in mortality between the sexes and changes over time were tested separately. Material and MethodsData from all patients with ICD-10 based diagnoses of injury (ICD-10: V01 to Y36) in the Swedish National Patient Registry and Cause of Death Registry were collected from 1999 to 2012 and used for assessment of mortality and comorbidity. A subgroup (patients in hospital) from 2001-2011 were selected as the study group. Their injuries were in the subgroups of falls, traffic, and assaults, and are the focus of this thesis. Mortality within 30 days of injury was used as the endpoint. The severity of injury was adjusted for using the ICISS, which was first described by Osler et al. The model was also adjusted for age, sex, and comorbidities. ResultsThe study group comprised 815 846 patients (of whom 17 721 died). There was a decrease over time in injuries caused by falls and traffic (coefficient -4.71, p=0.047 and coefficient -5.37, p<0.001), whereas there was no change in assault-related injuries/100 000 inhabitants. The risk-adjusted 30-day mortality showed a decrease in injuries related to traffic and assault (OR 0.95, p<0.001 and OR 0.93, p=0.022) whereas for falls it remained unchanged. There was also a risk-adjusted survival benefit for women, which increased with increasing age. Adjusting for comorbidities made the prediction of 30-day mortality by the ICISS model better (accuracy, calibration, and discrimination). However, most of this effect was found to be the result of the other characteristics of the fall related injury group (they were older, and had more coexisting conditions). ConclusionDuring a 10-year period, there has been a significant overall decrease in crude as well as risk-adjusted mortality for these three injury groups combined. Within these groups there is a clear, risk-adjusted, female survival advantage. The ICISS model for the prediction of mortality improves when comorbidities are added, but this effect is minor and seen mainly among the injuries caused by falls, where comorbidity is significant. The ICISS method was a valuable adjunct in the investigation of data on Swedish mortality after injury that has been gathered from health care registry data.Abstract .

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“…Currently, about 30% of reimbursement to family medicine practice in the United Kingdom is based on the pay-for-performance concept [2]. As early results arrived from these programs and practices in the United Kingdom, pay for performance began to be applied to various areas of medicine in the United States [3]. According to recently published reports, about 50% of US health maintenance organizations (HMOs) use some form of pay for performance [4].…”

Section: The Evolution Of Quality Improvementmentioning

confidence: 99%

Should the principle of “pay for performance” be applied to nutrition support?

Spoerke

Martindale²

2009

Curr Gastroenterol Rep

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Americans spent 2.4 trillion dollars on health care in 2008. The massive size of this expenditure has led to perpetual efforts to improve health care quality while attempting to reduce overall cost. A recent development in reimbursement strategies is the "pay-for-performance" model. Retrospective reports showed variable success for this model for the treatment of acute myocardial infarction, pneumonia, and congestive heart failure. As the model gains popularity, there is pressure to apply pay for performance to an increasing number of diseases and treatment settings. In this article, we evaluate the appropriateness of the pay-for-performance model with regard to nutritional support in the hospitalized patient.

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Surgical quality improvement: a simplified method to apply national standards to pediatric trauma care

Cited by 5 publications

References 13 publications

Assessing the service quality of Iran military hospitals: Joint Commission International standards and Analytic Hierarchy Process (AHP) technique

Assessing the service quality of Iran military hospitals: Joint Commission International standards and Analytic Hierarchy Process (AHP) technique

Risk-Adjustment for Swedish In-Hospital Trauma Mortality using International Classification of disease Injury Severity Score (ICISS) : issues with description and methods

Should the principle of “pay for performance” be applied to nutrition support?

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