Background: The incidence of surgical site infection (SSI) across surgical procedures,
specialties, and conditions is reported to vary from 0.1% to 50%. Operative duration is often …

SURGICAL QUALITY: MEANING AND ASSESSMENT The Donabedian model consists of 3
components for measuring the quality of health care: structure, process, and outcome …

Objective: To determine the incremental hospital cost and mortality associated with the
development of postoperative acute kidney injury (AKI) and with other associated …

Importance The American College of Surgeons National Surgical Quality Improvement
Program (ACS NSQIP) provides feedback to hospitals on risk-adjusted outcomes. It is not …

Background The aim of this study was to evaluate postoperative complications in patients
having major elective surgery using oesophageal Doppler monitor-guided goal-directed …

Importance Increased costs of surgical complications have been borne mostly by third-party
payers. However, numerous policy changes aimed at incentivizing high-quality care shift …

BACKGROUND: Studies of specific procedures have shown increases in infectious
complications with operative duration. We hypothesized that operative duration is …

Methods: Using the 100% national claims files, we identified all US hospitals performing
coronary artery bypass graft, total hip replacement, abdominal aortic aneurysm repair, or …

Importance Surgical site infections (SSIs) may increase health care costs, but few studies
have conducted an analysis from the perspective of hospital administrators. Objective To …

Objective: To systematically review studies evaluating the influence of surgical experience
on individual performance. Background: Experience, measured in case volume or years of …