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  1. Complete clinical outcomes audit : Resource requirements and validation of the instrument.

    Article - En anglais

    Background 

    Clinically relevant surgical outcomes are usually monitored by surgeons only for new and/or high-volume procedures.

    Prospective outcomes audit studies are rarely done on 100% of procedures performed by a single surgeon, a surgical practice, or an institution.

    Therefore, we set out to determine the resource utilization and accuracy of a well-validated system at its introduction into a North American university surgical practice.

    Methods 

    The Otago Surgical Audit, which has been validated in a wide spectrum of surgical practices in Australasia, was applied to a university practice in general and laparoscopic surgery.

    Data were recorded by the surgeon on the day of operation, at discharge, and during any subsequent readmission.

    Resource utilization was determined by timing the important steps in data acquisition and computer entry.

    Data accuracy was assessed by an independent chart review of 22% of all records.

    Case capture was audited by reviewing operating room case logs.

    Results 

    Over 1 year, from October 1,1996 to September 30,1997,338 procedures were performed.

    Data recording and coding by the surgeon required 2 min per form, or a total of 676 min (11.3 h) annually.

    Data entry required 2.11 min per form, or a total of 713 min (11.9 h) for the year.

    Eight percent of cases were returned to the surgeon for additional information. (...)

    Mots-clés Pascal : Chirurgie, Evaluation, Résultat, Evolution, Exploration, Audit, Homme

    Mots-clés Pascal anglais : Surgery, Evaluation, Result, Evolution, Exploration, Audit, Human

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

    Cote : 99-0371365

    Code Inist : 002B30A01C. Création : 14/12/1999.