Over recent years in the United Kingdom there have been a number of high-profile cases where patient safety has been compromised. These failures have led to important inquiries, which have produced a series of reports and recommendations. Cardiac surgery has been at the centre of some of these events and the Society for Cardiothoracic Surgery in Great Britain and Ireland has responded by driving a number of initiatives to improve both outcomes of care for patients and quality assurance processes. This book analyses and demonstrates the current quality of contemporary adult cardiac surgery in Great Britain and Ireland. It is based on an analysis of over 400,000 patient-records collected since 1994. The book subjects the specialty of cardiac surgery to an unrivalled degree of scrutiny and demonstrates a culture that is determined to put patients and their outcomes at the centre of healthcare delivery. Previous similar analyses have studied mortality as a primary measure of quality, but this report has been developed to include a comprehensive spectrum of measures that demonstrate patient-safety, patientexperience and clinical effectiveness. The book contains analyses that show: • Significant improvements in survival for most cardiac surgical procedures, despite increasing complexity of casemix and an increasing proportion of elderly patients undergoing heart surgery. • Variation in the types of surgery undertaken for various disorders between hospitals, marked differences in volumes, and significant variations in equity of access to potentially life-saving treatments by geographical region. In addition to the detailed surgical analyses, this report also contains the perspective of patient representatives on the Society for Cardiothoracic Surgeons’ audit, descriptions of developments to optimise training, discussions on new initiatives to implement professional regulation of cardiac surgeons and Good practice examples, which will be of benefit both within cardiac surgery and across other areas of medicine and surgery.
|Place of Publication||Henley upon Thames|
|Publisher||Dendrite Clinical Systems Ltd|
|ISBN (Print)||ISBN 1-903968-23-2. 2009.|
|Publication status||Published - Mar 2009|