Qualitätssicherung in der herzchirurgie in den USA

Translated title of the contribution: Quality management in cardiac surgery in the USA

Matthias Loebe, S. Tewani, B. A. Bruckner, M. Disbot

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Quality control and performance improvement in the US health care system are based on several pillars: external review is performed by either government agencies, insurance companies, or public media. In cardiac surgery the STS database forms the backbone of most of these reviews. Internal review is based on providing outcome data, establishing benchmarks for performance, and root-cause analysis of adverse events. Peer review is used to analyze major issues in providing care. Transparency of the process and of outcome numbers generated is key for the success of measurements to improve performance. Finally, education of all health care providers in the hospital is needed to provide quality care and good outcomes. Maintaining proficiency of physicians and hospital personal in pathways and procedures requires constant educational efforts and clear pathways and guidelines. Growing resources have to be dedicated to quality management. As outcome data become essential in obtaining insurance contracts and government certification the investing into a comprehensive quality assurance program will pay off.

Original languageGerman
JournalDeutsche Medizinische Wochenschrift
Volume134
Issue numberSUPPL. 6
DOIs
StatePublished - 2009
Externally publishedYes

Fingerprint

Insurance
Thoracic Surgery
Root Cause Analysis
Government Agencies
Benchmarking
Peer Review
Quality of Health Care
Certification
Contracts
Quality Control
Health Personnel
Databases
Guidelines
Delivery of Health Care
Physicians
Education

Keywords

  • Cardiac surgery
  • Peer-review process
  • Quality management
  • STS database
  • US Health Care System

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Qualitätssicherung in der herzchirurgie in den USA. / Loebe, Matthias; Tewani, S.; Bruckner, B. A.; Disbot, M.

In: Deutsche Medizinische Wochenschrift, Vol. 134, No. SUPPL. 6, 2009.

Research output: Contribution to journalArticle

Loebe, Matthias ; Tewani, S. ; Bruckner, B. A. ; Disbot, M. / Qualitätssicherung in der herzchirurgie in den USA. In: Deutsche Medizinische Wochenschrift. 2009 ; Vol. 134, No. SUPPL. 6.
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