Debate: should we use variable adjusted life displays (VLAD) to identify variations in performance in general surgery?

BACKGROUND: The recent push for the publication of individual surgeon outcomes underpins public interest in safer surgery. Conventional, retrospective assessment of surgical performance without continuous monitoring may lead to delays in identifying poor performance or recognition of practices that...

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Detalles Bibliográficos
Autores principales: O´Neill, Stephen, Wigmore, Stephen J., Harrison, Ewen M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2015
Materias:
Debate
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4551379/
https://www.ncbi.nlm.nih.gov/pubmed/26314294
http://dx.doi.org/10.1186/s12893-015-0087-0
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author O´Neill, Stephen
Wigmore, Stephen J.
Harrison, Ewen M.
author_facet O´Neill, Stephen
Wigmore, Stephen J.
Harrison, Ewen M.
author_sort O´Neill, Stephen
collection PubMed
description BACKGROUND: The recent push for the publication of individual surgeon outcomes underpins public interest in safer surgery. Conventional, retrospective assessment of surgical performance without continuous monitoring may lead to delays in identifying poor performance or recognition of practices that lead to be better than expected performance. DISCUSSION: The variable life adjusted display (VLAD) is not new, yet is not widely utilised in General Surgery. Its construction is simple and if caveats are appreciated the interpretation is straightforward, allowing for continuous surveillance of surgical performance. SUMMARY: While limitations in the detection of variations in performance are appreciated, the VLAD could represent a more useful tool for monitoring performance.
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spelling pubmed-45513792015-08-29 Debate: should we use variable adjusted life displays (VLAD) to identify variations in performance in general surgery? O´Neill, Stephen Wigmore, Stephen J. Harrison, Ewen M. BMC Surg Debate BACKGROUND: The recent push for the publication of individual surgeon outcomes underpins public interest in safer surgery. Conventional, retrospective assessment of surgical performance without continuous monitoring may lead to delays in identifying poor performance or recognition of practices that lead to be better than expected performance. DISCUSSION: The variable life adjusted display (VLAD) is not new, yet is not widely utilised in General Surgery. Its construction is simple and if caveats are appreciated the interpretation is straightforward, allowing for continuous surveillance of surgical performance. SUMMARY: While limitations in the detection of variations in performance are appreciated, the VLAD could represent a more useful tool for monitoring performance. BioMed Central 2015-08-28 /pmc/articles/PMC4551379/ /pubmed/26314294 http://dx.doi.org/10.1186/s12893-015-0087-0 Text en © O´Neill et al. 2015 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Debate
O´Neill, Stephen
Wigmore, Stephen J.
Harrison, Ewen M.
Debate: should we use variable adjusted life displays (VLAD) to identify variations in performance in general surgery?
title Debate: should we use variable adjusted life displays (VLAD) to identify variations in performance in general surgery?
title_full Debate: should we use variable adjusted life displays (VLAD) to identify variations in performance in general surgery?
title_fullStr Debate: should we use variable adjusted life displays (VLAD) to identify variations in performance in general surgery?
title_full_unstemmed Debate: should we use variable adjusted life displays (VLAD) to identify variations in performance in general surgery?
title_short Debate: should we use variable adjusted life displays (VLAD) to identify variations in performance in general surgery?
title_sort debate: should we use variable adjusted life displays (vlad) to identify variations in performance in general surgery?
topic Debate
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4551379/
https://www.ncbi.nlm.nih.gov/pubmed/26314294
http://dx.doi.org/10.1186/s12893-015-0087-0
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