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Systematic review of hospital-wide complication registries.


ABSTRACT: Background:An institutional registry covering all surgical specialties could be an implementation tool in quality benchmarking between hospitals and aid determination of their cost-effectiveness. The objective of this systematic literature review was to evaluate original articles on existing prospective surgical registries that can be used by single institutions across surgical specialties. Method:A systematic review of the literature using PRISMA guidelines was conducted for articles focusing on hospital-wide surgical registries. Single-specialty retrospective registries, non-defined outcome measures or system protocols, and studies not in English were excluded. Results:Five articles were included for analysis. Evaluation of the articles revealed wide methodological heterogeneity in the classification and categorization of complications and data collection methods. Conclusion:Ideal surgical quality monitoring systems should be real-time, contain patient-related risk factors, and encompass all surgical specialties. At present, such institutional registries are rarely reported and no consensus exists on their standard definitions and methodology.

SUBMITTER: Saarinen I 

PROVIDER: S-EPMC6156167 | biostudies-literature | 2018 Sep

REPOSITORIES: biostudies-literature

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Systematic review of hospital-wide complication registries.

Saarinen I I   Malmivaara A A   Miikki R R   Kaipia A A  

BJS open 20180727 5


<h4>Background</h4>An institutional registry covering all surgical specialties could be an implementation tool in quality benchmarking between hospitals and aid determination of their cost-effectiveness. The objective of this systematic literature review was to evaluate original articles on existing prospective surgical registries that can be used by single institutions across surgical specialties.<h4>Method</h4>A systematic review of the literature using PRISMA guidelines was conducted for arti  ...[more]

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