Debate: should we use variable adjusted life displays (VLAD) to identify variations in performance in general surgery?

Stephen O'Neill; Stephen J Wigmore; Ewen M Harrison

doi:10.1186/s12893-015-0087-0

Debate: should we use variable adjusted life displays (VLAD) to identify variations in performance in general surgery?

Stephen O'Neill, Stephen J Wigmore, Ewen M Harrison

Deanery of Clinical Sciences

Research output: Contribution to journal › Comment/debate › peer-review

Abstract

BACKGROUND: The recent push for the publication of individual surgeon outcomes underpins public interest in safer surgery. Conventional, retrospective assessment of surgical performance without continuous monitoring may lead to delays in identifying poor performance or recognition of practices that lead to be better than expected performance.

DISCUSSION: The variable life adjusted display (VLAD) is not new, yet is not widely utilised in General Surgery. Its construction is simple and if caveats are appreciated the interpretation is straightforward, allowing for continuous surveillance of surgical performance.

SUMMARY: While limitations in the detection of variations in performance are appreciated, the VLAD could represent a more useful tool for monitoring performance.

Original language	English
Article number	102
Number of pages	4
Journal	Bmc surgery
Volume	15
DOIs	https://doi.org/10.1186/s12893-015-0087-0
Publication status	Published - 28 Aug 2015

Keywords / Materials (for Non-textual outputs)

CARDIAC-SURGERY
TIME
MORTALITY
OUTCOMES

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10.1186/s12893-015-0087-0

s12893-015-0087-0Final published version, 2.18 MB

The role of heat shock protein 90 inhibition as a novel means of modulating ischemia/reperfusion injury in the kidney
O'Neill, S. (Principal Investigator)
MRC
1/08/13 → 31/07/15
Project: Research

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title = "Debate: should we use variable adjusted life displays (VLAD) to identify variations in performance in general surgery?",

abstract = "BACKGROUND: The recent push for the publication of individual surgeon outcomes underpins public interest in safer surgery. Conventional, retrospective assessment of surgical performance without continuous monitoring may lead to delays in identifying poor performance or recognition of practices that lead to be better than expected performance.DISCUSSION: The variable life adjusted display (VLAD) is not new, yet is not widely utilised in General Surgery. Its construction is simple and if caveats are appreciated the interpretation is straightforward, allowing for continuous surveillance of surgical performance.SUMMARY: While limitations in the detection of variations in performance are appreciated, the VLAD could represent a more useful tool for monitoring performance.",

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author = "Stephen O'Neill and Wigmore, {Stephen J} and Harrison, {Ewen M}",

year = "2015",

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doi = "10.1186/s12893-015-0087-0",

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volume = "15",

journal = "Bmc surgery",

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T1 - Debate

T2 - should we use variable adjusted life displays (VLAD) to identify variations in performance in general surgery?

AU - O'Neill, Stephen

AU - Wigmore, Stephen J

AU - Harrison, Ewen M

PY - 2015/8/28

Y1 - 2015/8/28

N2 - BACKGROUND: The recent push for the publication of individual surgeon outcomes underpins public interest in safer surgery. Conventional, retrospective assessment of surgical performance without continuous monitoring may lead to delays in identifying poor performance or recognition of practices that lead to be better than expected performance.DISCUSSION: The variable life adjusted display (VLAD) is not new, yet is not widely utilised in General Surgery. Its construction is simple and if caveats are appreciated the interpretation is straightforward, allowing for continuous surveillance of surgical performance.SUMMARY: While limitations in the detection of variations in performance are appreciated, the VLAD could represent a more useful tool for monitoring performance.

AB - BACKGROUND: The recent push for the publication of individual surgeon outcomes underpins public interest in safer surgery. Conventional, retrospective assessment of surgical performance without continuous monitoring may lead to delays in identifying poor performance or recognition of practices that lead to be better than expected performance.DISCUSSION: The variable life adjusted display (VLAD) is not new, yet is not widely utilised in General Surgery. Its construction is simple and if caveats are appreciated the interpretation is straightforward, allowing for continuous surveillance of surgical performance.SUMMARY: While limitations in the detection of variations in performance are appreciated, the VLAD could represent a more useful tool for monitoring performance.

KW - CARDIAC-SURGERY

KW - TIME

KW - MORTALITY

KW - OUTCOMES

U2 - 10.1186/s12893-015-0087-0

DO - 10.1186/s12893-015-0087-0

M3 - Comment/debate

C2 - 26314294

SN - 1471-2482

VL - 15

JO - Bmc surgery

JF - Bmc surgery

M1 - 102

ER -

Debate: should we use variable adjusted life displays (VLAD) to identify variations in performance in general surgery?

Abstract

Keywords / Materials (for Non-textual outputs)

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The role of heat shock protein 90 inhibition as a novel means of modulating ischemia/reperfusion injury in the kidney

Cite this