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  1. Making peer review statistically accountable.

    Article - En anglais

    BACKGROUND 

    The peer review process used in most hospitals is largely anecdotal, leading to criticisms about the objectivity of the methods employed.

    METHODS 

    The results of 1,500 consecutive abdominal operations performed by general surgeons working at three hospitals in a single community were reviewed.

    The outcome profile of each surgeon was compared statistically to the cumulative profile of the surgical community with adjustments for physiologic status of the patient, difficulty of the operation, and indications for surgery.

    RESULTS 

    A problem surgeon was thus identified whose poor results were significantly different from the rest of the surgical community and could not be explained on the basis of unfavorable patient mix or complexity of the procedures undertaken.

    CONCLUSIONS 

    Statistical comparison of a surgeon's outcome profile with those of his colleagues working in the same practice environment is suggested as an approach to the task of peer review that might prove preferable to the usual retrospective review of problem cases.

    Mots-clés Pascal : Chirurgie, Abdomen, Chirurgien, Evaluation interpair, Etude comparative, Evolution, Etude statistique, Homme

    Mots-clés Pascal anglais : Surgery, Abdomen, Surgeon, Peer review, Comparative study, Evolution, Statistical study, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0225562

    Code Inist : 002B30A05. Création : 199608.