Measurement of outcomes from medical or surgical interventions is part of good practice, but publication of individual doctors' results remains controversial. The authors discuss this issue in the context of cardiothoracic surgery
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| http://dx.doi.org/10.1136/bmj.329.7463.450 | DOI Listing |
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Interventions to prevent surgical site infection in adults undergoing cardiac surgery.
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Department of Cardiovascular Sciences, University of Leicester, Leicester, UK.
Article Synopsis
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- * The study includes a comprehensive search for randomized controlled trials (RCTs) related to SSI prevention in adult cardiac surgery and aims to establish a clearer standard of care for managing these infections.
Association of organ procurement organization volume with Centers for Medicare and Medicaid Services performance evaluations.
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Division of Transplant Surgery, Department of Surgery, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA; Colorado Center for Transplantation Care (CCTCARE), Research and Education, Division of Transplant Surgery, Department of Surgery, Anschutz Medical Campus, University of Colorado, Aurora, Colorado, USA; Department of Epidemiology, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA. Electronic address:
Under 2020 Centers for Medicare and Medicaid Services (CMS) conditions of coverage, Organ Procurement Organizations (OPOs) will be decertified if their 95% upper confidence limit for donation or transplant rate falls below the previous year's median (tier 3) and must recompete if either is below the 75th percentile (tier 2). This study aimed to examine the associations of CMS metrics with OPO volume and evaluate an alternate observed-to-expected tiering system using simulation analysis and CMS's OPO public report. In 2021, CMS tier 3 and 2 OPOs had significantly larger volumes than tier 1 OPOs (median = 2042 vs 2124 vs 1003; P = .
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