Debate: should we use variable adjusted life displays (VLAD) to identify variations in performance in general surgery?
Debate: should we use variable adjusted life displays (VLAD) to identify variations in performance in general surgery?
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DOI：
10.1186/s12893-015-0087-0
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发表时间：
2015-08-28
期刊：
影响因子：
1.9
通讯作者：
Harrison EM
中科院分区：
文献类型：
--
作者：
O Neill S;Wigmore SJ;Harrison EM
最近推动公布个别外科医生的结果，加强了公众对更安全手术的兴趣。在没有持续监测的情况下对手术性能进行传统的回顾性评估，可能会导致识别不良性能或识别导致性能优于预期的实践的延迟。可变寿命调整显示器（VLAD）并不新鲜，但在普通外科中并未广泛使用。它的结构简单，如果注意事项是赞赏的解释是直截了当的，允许连续监测手术性能。虽然可以理解检测性能变化的局限性，但VLAD可以代表用于监测性能的更有用的工具。
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. 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. While limitations in the detection of variations in performance are appreciated, the VLAD could represent a more useful tool for monitoring performance.