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Monitoring the performance of cardiac surgeons

Author

Listed:
  • J Lovegrove

    (University College London)

  • C Sherlaw-Johnson

    (University College London)

  • O Valencia

    (St George's Hospital Medical School)

  • T Treasure

    (St George's Hospital Medical School)

  • S Gallivan

    (University College London)

Abstract

In the past, simple methods have been used to examine the performance of surgeons by examining the cumulative in-hospital mortality of their patients, without regard to the severity of the cases involved. This paper describes an alternative approach which takes account of an individual cardiac surgeon's case-mix by explicitly incorporating the inherent risk faced by patients due to a combination of factors relating to their age and the degree of disease they have.

Suggested Citation

  • J Lovegrove & C Sherlaw-Johnson & O Valencia & T Treasure & S Gallivan, 1999. "Monitoring the performance of cardiac surgeons," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 50(7), pages 684-689, July.
    • Handle: RePEc:pal:jorsoc:v:50:y:1999:i:7:d:10.1057_palgrave.jors.2600774
    DOI: 10.1057/palgrave.jors.2600774
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    Citations

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    Cited by:

    1. C Sherlaw-Johnson & P Wilson & S Gallivan, 2007. "The development and use of tools for monitoring the occurrence of surgical wound infections," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 58(2), pages 228-234, February.
    2. Xu Tang & Fah F. Gan & Lingyun Zhang, 2015. "Risk-Adjusted Cumulative Sum Charting Procedure Based on Multiresponses," Journal of the American Statistical Association, Taylor & Francis Journals, vol. 110(509), pages 16-26, March.
    3. J P Oddoye & M A Yaghoobi & M Tamiz & D F Jones & P Schmidt, 2007. "A multi-objective model to determine efficient resource levels in a medical assessment unit," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 58(12), pages 1563-1573, December.
    4. Oddoye, J.P. & Jones, D.F. & Tamiz, M. & Schmidt, P., 2009. "Combining simulation and goal programming for healthcare planning in a medical assessment unit," European Journal of Operational Research, Elsevier, vol. 193(1), pages 250-261, February.
    5. Athanasios Sachlas & Sotirios Bersimis & Stelios Psarakis, 2019. "Risk-Adjusted Control Charts: Theory, Methods, and Applications in Health," Statistics in Biosciences, Springer;International Chinese Statistical Association, vol. 11(3), pages 630-658, December.
    6. Tee‐Chin Chang, 2008. "Cumulative sum schemes for surgical performance monitoring," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 171(2), pages 407-432, April.
    7. Fah Gan & Tess Tan, 2010. "Risk-adjusted number-between failures charting procedures for monitoring a patient care process for acute myocardial infarctions," Health Care Management Science, Springer, vol. 13(3), pages 222-233, September.

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