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March 10, 2003British journal of surgeryOpen Access

Systematic review of the quality of surgical mortality monitoring

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Key result

A systematic review of surgical mortality monitoring systems revealed inconsistent definitions of surgical death and a lack of post-discharge mortality ascertainment without national register linkage.

Population

Published literature, grey literature, and routine national hospital data collections regarding surgical…

Design

Systematic_review

Authors

JBJulie BruceUniversity of WarwickZKZ H KrukowskiAberdeen Royal Infirmary

Discussion

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Overview

Current surgical mortality audits may underestimate deaths; challenges inconsistent definitions and supports national register linkage for validation.

Study Design

Type

Systematic Review

Structured PICO

P
Population
Systematic review of published and unpublished literature from 1993-1999 evaluating the quality of surgical mortality monitoring systems in the UK and North America.
E
Exposure
Measurement, reporting, and monitoring of mortality as an outcome after surgery.
O
Outcome
Quality of measurement, reporting, and monitoring of mortality.

The review highlights significant variability in definitions of surgical death and a lack of validation in mortality monitoring systems, emphasizing the need for comprehensive data collection linked to national death registers.

Limitations

  • Very few published studies on validation of the completeness and accuracy of the data collection.

Cite This Study

Bruce et al. (2003) conducted a systematic review in Surgical mortality. Surgical mortality monitoring systems was evaluated on Quality of measurement, reporting and monitoring of mortality. A systematic review of surgical mortality monitoring systems revealed inconsistent definitions of surgical death and a lack of post-discharge mortality ascertainment without national register linkage.

synapsesocial.com/papers/6a9945927384e28de71ffbe1https://doi.org/10.1002/bjs.4126
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