Systematic review of hospital-wide complication registries



: Saarinen I, Malmivaara A, Miikki R, Kaipia A

Publisher: JOHN WILEY & SONS LTD

: 2018

: BJS Open

: BJS OPEN

: BJS OPEN

: 2

: 5

: 293

: 300

: 8

: 2474-9842

DOI: https://doi.org/10.1002/bjs5.87

: https://research.utu.fi/converis/portal/detail/Publication/38876159


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.

Last updated on 2024-26-11 at 14:58