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Anesthesiology clinics · Jun 2010
ReviewManagement by outcomes: efficiency and operational success in the ambulatory surgery center.
- Douglas G Merrill and John J Laur.
- Outpatient Surgery, Dartmouth-Hitchcock Medical Center, One Medical Center Way, Lebanon, NH 03753, USA. douglas.g.merrill@hitchcock.org
- Anesthesiol Clin. 2010 Jun 1; 28 (2): 329-51.
AbstractQuality of care and service in health care can benefit from the use of algorithm-driven care (standard work) that integrates literature assessment and analysis of local outcome and process data to eliminate unnecessary variation that causes error and waste. Effective management of an ambulatory surgery center requires that leadership emphasize constant improvement in the processes of care to achieve maximum patient safety and satisfaction, delivered with highest efficiency. Process improvement may be achieved by simple measurement alone (the Hawthorne effect). However, as shown in this article, the authors have successfully used the implementation of regular measurement and open discussion of patients' clinical outcomes and other operational metrics to focus active systems improvement projects in ambulatory surgery centers, with excellent results.Copyright (c) 2010 Elsevier Inc. All rights reserved.
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