Monitoring the performance of cardiac surgeons

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Comparison

Case-mix adjusted performance monitoring vs Simple cumulative in-hospital mortality monitoring

Authors

Discussion

Case-mix adjustment may enable fairer surgeon monitoring; leaves open effects on practice or outcomes.

Intervention

Case-mix adjusted performance monitoring

Comparator

Simple cumulative in-hospital mortality monitoring

Outcome

Surgeon performance assessment

Adjusting for patient case-mix provides a more accurate assessment of cardiac surgeon performance than simple unadjusted mortality rates.

Lovegrove et al. (1999) studied this question.

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