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Managing the machine: a QA program for robotic surgery

A framework for assessing outcomes of robotic surgery across multiple specialties was developed by The Ohio State University School of Medicine working with staff at The Ohio State University Medical Center’s Quality Improvement and Operations Department.  The initial groundwork for the new QA tool was based on a retrospective study of medical records for robotic surgery in multiple disciplines, including:

  • Urology
  • General surgery
  • Cardiothoracic surgery
  • Otolaryngology
  • Gynecology

The framework, using the balanced scorecard model (a sample of which is included in the article), provides benchmark data for multiple measures, including:

  • total volume (measured quarterly)
  • length of stay (days)
  • readmission rate at 30 days
  • return to surgery rate at 90 days
  • mortality
  • complications (accidental puncture)
  • conversion to open procedure

The QA framework also accounts for surgeon experience with robotic procedures, length of procedure – cut to close time, and total OR time.  The two latter measures can be used to assess both clinical quality and operating room efficiency.

Source: Gonsenhauser, John, and others.  Developing a multidisciplinary robotic surgery quality assessment program.  Journal for Healthcare Quality.  34(3):43-53, May/June 2012.  http://onlinelibrary.wiley.com/doi/10.1111/j.1945-1474.2012.00205.x/pdf

2 Responses

  1. Dear Webmaster
    please do you know how can I connect whith The Ohio State University School of Medicine.??
    thank
    mario vazquez

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