By Wiley W. Souba; Mitchell P. Fink; Gregory J. Jurkovich; Larry R. Kaiser; William H. Pearce; John H. Pemberton; Nathaniel J. Soper
Annual complete source for surgeons offers the knowledge wanted for continuous ability refinement and to accomplish key tactics extra successfully. up-to-date variation comprises an increased decrease gastrointestinal (GI) part. textual content with CD-ROM additionally on hand. DNLM: surgeries, Operative--methods.
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Extra resources for ACS Surgery: Principles & Practice 2005 edition
For outcome measures based on administrative data, a major concern is the adequacy of risk adjustment. For outcome measures to have face validity with providers, high-quality risk adjustment may be essential. , hospitals or providers avoiding high-risk patients to optimize their performance measures). It is unclear, however, to what extent the scientific validity of outcome measures is threatened by imperfect risk adjustment with administrative data. Although administrative data lack clinical detail on many variables related to baseline risk,18-21 the degree to which case mix varies systematically across hospitals or surgeons has not been determined.
Pronovost PJ, Angus DC, Dorman T, et al: Physician staffing patterns and clinical outcomes in critically ill patients: a systematic review. JAMA 288:2151, 2002 19. Fisher ES, Whaley FS, Krushat WM, et al: The accuracy of Medicare’s hospital claims data: progress, but problems remain. Am J Public Health 82:243, 1992 13. Pronovost PJ, Needham DM, Waters H, et al: Intensive care unit physician staffing: financial modeling of the Leapfrog standard. Crit Care Med 32:1247, 2004 20. Iezzoni LI, Foley SM, Daley J, et al: Comorbidities, complications, and coding bias.
The two most common error forms associated with underspecification are similarity matching and frequency bias (or frequency gambling). In similarity matching, a present situation is thought to resemble a previous one and consequently is addressed in the same (not necessarily appropriate) way. 5 Confirmation bias is the propensity to stick with a chosen course of action and to either interpret new information so as to favor the original choice or else disregard such information entirely. 74 Confirmation bias is particularly likely in unusual or evolving situations and when there is concomitant pressure to maintain coherence25—again, notable characteristics of surgical practice.
ACS Surgery: Principles & Practice 2005 edition by Wiley W. Souba; Mitchell P. Fink; Gregory J. Jurkovich; Larry R. Kaiser; William H. Pearce; John H. Pemberton; Nathaniel J. Soper