If the risk is determined to be low--either an RCRI score <2 or an ACS NSQIP
cardiac complication risk <1%--the patient can be referred to surgery without further evaluation.
Indicator variables (1 if yes, 0 if no) were created for each category of "Targeted" elective general surgical procedures in NSQIP
(ACS 2013a), namely pancreatectomy, colectomy, proctectomy, ventral herniorraphy, bariatric surgery, hepatectomy, thyroidectomy, and esophagectomy.
All patients with 'Plastics' recorded as their primary surgical team was isolated from the 2006-2011 NSQIP
Despite the strengths of the NSQIP
database, there are limitations to this analysis.
Berwick (2015) explained that the failure of NSQIP
hospitals to perform better than nonparticipant hospitals obscured the fact that all hospitals in the study reduced mortality rates, serious complications, and readmissions by comparable amounts.
He added that the evidence of a July Effect may not be generalizable to teaching hospitals beyond large academic medical centers such as the University of Michigan and Massachusetts General Hospital, Boston, both of which participated in the NSQIP
Impact of resident involvement on urological surgery outcomes: An analysis of 40 000 patients from the ACS NSQIP
These may include registries or group-specific surveys, for example, MINAP (Healthcare Quality Improvement Partnership 2012) and SINAP (Royal College of Physicians 2012) in the United Kingdom for AMI and stroke, respectively, and NSQIP
in the United States for surgery (American College of Surgeons 2012).
database includes patient demographics, patient comorbidities, surgical procedure type, and perioperative adverse events up to 30 days after surgery.
was designed to promote continuous quality monitoring and improvement by providing reliable, valid, comparative information regarding surgical outcomes to all facilities performing major non-cardiac surgery (Daley et al.
National multi-institutional comparison of 30-day postoperative complication and readmission rates between open retropubic radical prostatectomy and robot-assisted laparoscopic prostatectomy using NSQIP