A2 Refereed review article in a scientific journal
Systematic review of hospital-wide complication registries
Authors: Saarinen I, Malmivaara A, Miikki R, Kaipia A
Publisher: JOHN WILEY & SONS LTD
Publication year: 2018
Journal: BJS Open
Journal name in source: BJS OPEN
Journal acronym: BJS OPEN
Volume: 2
Issue: 5
First page : 293
Last page: 300
Number of pages: 8
ISSN: 2474-9842
DOI: https://doi.org/10.1002/bjs5.87
Self-archived copy’s web address: https://research.utu.fi/converis/portal/detail/Publication/38876159
Abstract
Background: An institutional registry covering all surgical specialties could be an implementation tool in quality benchmarking between hospitals and aid determination of their cost-effectiveness. The objective of this systematic literature review was to evaluate original articles on existing prospective surgical registries that can be used by single institutions across surgical specialties.Method: A systematic review of the literature using PRISMA guidelines was conducted for articles focusing on hospital-wide surgical registries. Single-specialty retrospective registries, non-defined outcome measures or system protocols, and studies not in English were excluded.Results: Five articles were included for analysis. Evaluation of the articles revealed wide methodological heterogeneity in the classification and categorization of complications and data collection methods.Conclusion: Ideal surgical quality monitoring systems should be real-time, contain patient-related risk factors, and encompass all surgical specialties. At present, such institutional registries are rarely reported and no consensus exists on their standard definitions and methodology.
Background: An institutional registry covering all surgical specialties could be an implementation tool in quality benchmarking between hospitals and aid determination of their cost-effectiveness. The objective of this systematic literature review was to evaluate original articles on existing prospective surgical registries that can be used by single institutions across surgical specialties.Method: A systematic review of the literature using PRISMA guidelines was conducted for articles focusing on hospital-wide surgical registries. Single-specialty retrospective registries, non-defined outcome measures or system protocols, and studies not in English were excluded.Results: Five articles were included for analysis. Evaluation of the articles revealed wide methodological heterogeneity in the classification and categorization of complications and data collection methods.Conclusion: Ideal surgical quality monitoring systems should be real-time, contain patient-related risk factors, and encompass all surgical specialties. At present, such institutional registries are rarely reported and no consensus exists on their standard definitions and methodology.
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