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Public reporting of cardiac surgery performance: Part 1 - History, rationale, consequences

Publication ,  Journal Article
Shahian, DM; Edwards, FH; Jacobs, JP; Prager, RL; Normand, SLT; Shewan, CM; O'Brien, SM; Peterson, ED; Grover, FL
Published in: Annals of Thoracic Surgery
January 1, 2011

Cardiac surgical report cards have historically been mandatory. This paradigm changed when The Society of Thoracic Surgeons recently implemented a voluntary public reporting program based on benchmark analyses from its National Cardiac Database. The primary rationale is to provide transparency and accountability, thus affirming the fundamental ethical right of patient autonomy. Previous studies suggest that public reporting facilitates quality improvement, although other approaches such as confidential feedback of results and regional quality improvement initiatives are also effective. Public reporting has not substantially impacted patient referral patterns or market share. However, this may change with implementation of healthcare reform and with refinement of public reporting formats to enhance consumer interpretability. Finally, the potential unintended adverse consequences of public reporting must be monitored, particularly to assure that hospitals and surgeons remain willing to care for high-risk patients. © 2011 The Society of Thoracic Surgeons.

Duke Scholars

Published In

Annals of Thoracic Surgery

DOI

EISSN

1552-6259

ISSN

0003-4975

Publication Date

January 1, 2011

Volume

92

Issue

3 SUPPL.

Related Subject Headings

  • Respiratory System
  • 3202 Clinical sciences
  • 3201 Cardiovascular medicine and haematology
  • 1103 Clinical Sciences
  • 1102 Cardiorespiratory Medicine and Haematology
 

Citation

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MLA
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Shahian, D. M., Edwards, F. H., Jacobs, J. P., Prager, R. L., Normand, S. L. T., Shewan, C. M., … Grover, F. L. (2011). Public reporting of cardiac surgery performance: Part 1 - History, rationale, consequences. Annals of Thoracic Surgery, 92(3 SUPPL.). https://doi.org/10.1016/j.athoracsur.2011.06.102
Shahian, D. M., F. H. Edwards, J. P. Jacobs, R. L. Prager, S. L. T. Normand, C. M. Shewan, S. M. O’Brien, E. D. Peterson, and F. L. Grover. “Public reporting of cardiac surgery performance: Part 1 - History, rationale, consequences.” Annals of Thoracic Surgery 92, no. 3 SUPPL. (January 1, 2011). https://doi.org/10.1016/j.athoracsur.2011.06.102.
Shahian DM, Edwards FH, Jacobs JP, Prager RL, Normand SLT, Shewan CM, et al. Public reporting of cardiac surgery performance: Part 1 - History, rationale, consequences. Annals of Thoracic Surgery. 2011 Jan 1;92(3 SUPPL.).
Shahian, D. M., et al. “Public reporting of cardiac surgery performance: Part 1 - History, rationale, consequences.” Annals of Thoracic Surgery, vol. 92, no. 3 SUPPL., Jan. 2011. Scopus, doi:10.1016/j.athoracsur.2011.06.102.
Shahian DM, Edwards FH, Jacobs JP, Prager RL, Normand SLT, Shewan CM, O’Brien SM, Peterson ED, Grover FL. Public reporting of cardiac surgery performance: Part 1 - History, rationale, consequences. Annals of Thoracic Surgery. 2011 Jan 1;92(3 SUPPL.).
Journal cover image

Published In

Annals of Thoracic Surgery

DOI

EISSN

1552-6259

ISSN

0003-4975

Publication Date

January 1, 2011

Volume

92

Issue

3 SUPPL.

Related Subject Headings

  • Respiratory System
  • 3202 Clinical sciences
  • 3201 Cardiovascular medicine and haematology
  • 1103 Clinical Sciences
  • 1102 Cardiorespiratory Medicine and Haematology