POSSUM--a model for surgical outcome audit in quality care
The Medical Journal of Malaysia
;
: 516-521, 2003.
Article
Dans Malayalam
| WPRIM
| ID: wpr-629882
ABSTRACT
Comparative surgical audit to monitor quality of care should be performed with a risk-adjusted scoring system rather than using crude morbidity and mortality rates. A validated and widely applied risk adjusted scoring system, P-POSSUM (Portsmouth-Physiological and Operative Severity Score for the enUmeration of Mortality) methodology, was applied to a prospective series of predominantly general surgical patients at the Sarawak General Hospital, Kuching over a six months period. The patients were grouped into four risk groups. The observed mortality rates were not significantly different from predicted rates, showing that the quality of surgical care was at par with typical western series. The simplicity and advantages of this scoring system over other auditing tools are discussed. The P-POSSUM methodology could form the basis of local comparative surgical audit for assessment and maintenance of quality care.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Assurance de la qualité des soins de santé
/
Procédures de chirurgie opératoire
/
Loi du khi-deux
/
Études prospectives
/
Malaisie
/
Audit médical
Type d'étude:
Étude observationnelle
/
Étude pronostique
Pays comme sujet:
Asie
langue:
Malayalam
Texte intégral:
The Medical Journal of Malaysia
Année:
2003
Type:
Article
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