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Curr Opin Crit Care · Aug 2005
ReviewOrganizational characteristics and the quality of surgical care.
- Justin B Dimick.
- VA Outcomes Group, VA Medical Center, White River Junction, VT 05009, USA. Justin.B.Dimick@Dartmouth.edu
- Curr Opin Crit Care. 2005 Aug 1; 11 (4): 345-8.
Purpose Of ReviewPublic recognition of wide variations in surgical outcomes has prompted numerous efforts aimed at measuring and improving quality. Given that many of the most prominent efforts focus on organizational factors, this paper reviews the growing body of evidence underlying these initiatives.Recent FindingsPhysician, nurse, and pharmacist staffing are strongly related to outcomes for critically ill surgical patients. New technologic innovation, particularly computerized physician order entry, has the potential to markedly reduce medical errors in this population. Creating an infrastructure for the measurement and improvement of surgical quality also shows significant promise for improving outcomes.SummarySeveral organizational characteristics are strongly related outcomes for critically ill surgical patients. Increasing the number of surgical patients receiving care in hospitals adhering to these organizational practices would save many lives each year.
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