ACS Surgery: Principles & Practice 2005 edition by Wiley W. Souba; Mitchell P. Fink; Gregory J. Jurkovich;

By Wiley W. Souba; Mitchell P. Fink; Gregory J. Jurkovich; Larry R. Kaiser; William H. Pearce; John H. Pemberton; Nathaniel J. Soper

Annual accomplished source for surgeons offers the knowledge wanted for continuous ability refinement and to accomplish key strategies extra successfully. up to date variation comprises an multiplied reduce gastrointestinal (GI) part. textual content with CD-ROM additionally to be had. DNLM: surgeries, Operative--methods.

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Healthgrades) and state agencies are assessing risk-adjusted mortalities by using Medicare or state-level administrative datasets. Most of the current outcome-measurement initiatives, however, involve the use of large clinical registries, of which the cardiac surgery registries in New York, Pennsylvania, and a growing number of other states are perhaps the most visible examples. At the national level, the Society for Thoracic Surgeons and the American College of Cardiology have implemented systems for tracking the morbidity and mortality associated with cardiac surgery and percutaneous coronary interventions, respectively.

3. Knowledge-based performance involves conscious analytic processes and stored knowledge. It relies on working memory, which is comparatively slow and of relatively limited capacity. Typically, people resort to knowledge-based performance when their skills are inapplicable or their repertoire of rules has been exhausted. Successful problem solving has three main phases: planning, storage, and execution. The errors resulting from failures in performance may be classified as slips, lapses, or mistakes,60 depending on which phase of the problem-solving sequence is involved.

A measure should be implemented only with the expectation that acting on it will yield a net improvement in health quality. In other words, the direct benefits of implementing a particular measure cannot be outweighed by the indirect harm. Unfortunately, benefits and harm are often difficult to measure. Moreover, measurement is heavily influenced by the specific context and by who—patients, payers, or providers—is doing the accounting. For this reason, the question of where to set the bar, so to speak, has no simple answer.

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