TY - JOUR
T1 - Standardised metrics for global surgical surveillance
AU - Weiser, Thomas G.
AU - Makary, Martin A.
AU - Haynes, Alex B.
AU - Dziekan, Gerald
AU - Berry, William R.
AU - Gawande, Atul A.
N1 - Funding Information:
This work was supported by WHO, which also provided funding for AAG as lead of the Safe Surgery Saves Lives Initiative. WHO had no role in the decision to submit this work for publication. We would like to thank the following people for help in supplying data: Vanessa Beavis, Kylie Edwards, Ian Civil (Auckland, New Zealand); Amit Vats (London, UK); Chandra Meghrajani (Manila, Philippines); Vickie Kolios-Morris (Seattle, USA); Robert Bell, Joe Slack (Toronto, Canada).
PY - 2009/10/2
Y1 - 2009/10/2
N2 - Public health surveillance relies on standardised metrics to evaluate disease burden and health system performance. Such metrics have not been developed for surgical services despite increasing volume, substantial cost, and high rates of death and disability associated with surgery. The Safe Surgery Saves Lives initiative of WHO's Patient Safety Programme has developed standardised public health metrics for surgical care that are applicable worldwide. We assembled an international panel of experts to develop and define metrics for measuring the magnitude and effect of surgical care in a population, while taking into account economic feasibility and practicability. This panel recommended six measures for assessing surgical services at a national level: number of operating rooms, number of operations, number of accredited surgeons, number of accredited anaesthesia professionals, day-of-surgery death ratio, and postoperative in-hospital death ratio. We assessed the feasibility of gathering such statistics at eight diverse hospitals in eight countries and incorporated them into the WHO Guidelines for Safe Surgery, in which methods for data collection, analysis, and reporting are outlined.
AB - Public health surveillance relies on standardised metrics to evaluate disease burden and health system performance. Such metrics have not been developed for surgical services despite increasing volume, substantial cost, and high rates of death and disability associated with surgery. The Safe Surgery Saves Lives initiative of WHO's Patient Safety Programme has developed standardised public health metrics for surgical care that are applicable worldwide. We assembled an international panel of experts to develop and define metrics for measuring the magnitude and effect of surgical care in a population, while taking into account economic feasibility and practicability. This panel recommended six measures for assessing surgical services at a national level: number of operating rooms, number of operations, number of accredited surgeons, number of accredited anaesthesia professionals, day-of-surgery death ratio, and postoperative in-hospital death ratio. We assessed the feasibility of gathering such statistics at eight diverse hospitals in eight countries and incorporated them into the WHO Guidelines for Safe Surgery, in which methods for data collection, analysis, and reporting are outlined.
UR - http://www.scopus.com/inward/record.url?scp=79961101270&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=79961101270&partnerID=8YFLogxK
U2 - 10.1016/S0140-6736(09)61161-2
DO - 10.1016/S0140-6736(09)61161-2
M3 - Article
C2 - 19782877
AN - SCOPUS:79961101270
SN - 0140-6736
VL - 374
SP - 1113
EP - 1117
JO - The Lancet
JF - The Lancet
IS - 9695
ER -