korrents

surgical outcomes

Measuring and publishing how individual surgeons and hospitals perform, and what those numbers can honestly support.

FilterEveryone, all time6 from 2 people
Group All Scientists 1Economists & investors 1
Who Everyone DSDavid Spiegelhalter 5 OBOlivier Blanchard 1
When All time Past 1 yearPast 3 yearsPast 5 years
  1. OB

    Olivier Blanchard quoted

    Economist; former chief economist of the International Monetary Fund

    Our readingA persistently low safe interest rate signals that capital is not very productive at the margin, an underlying economic problem rather than a policy variable.

    interest rates

    Their wordsA low r is actually a signal that something is wrong with the economy: In effect, if we think of the safe rate as the risk-adjusted rate of return on capital, the low safe rate is sending the signal that, risk adjusted, the return on capital is low.

    ↗Fiscal Policy under Low Interest Ratesdirect.mit.edu All 22 from this book

  2. 18 years earlier
  3. DS

    David Spiegelhalter quoted

    Emeritus Professor of Statistics at the University of Cambridge

    Our readingMeasuring outcomes of medical or surgical interventions is part of good practice, but publishing individual doctors' results remains controversial.

    Their wordsMeasurement of outcomes from medical or surgical interventions is part of good practice, but publication of individual doctors' results remains controversial.

    ↗The legacy of Bristol: public disclosure of individual surgeons' results (with 5 co-authors)doi.org All 5 from this paper

  5. DS

    David Spiegelhalter quoted

    Our readingA surgeon's performance cannot be separated from that of the institution because quality depends heavily on institutional systems.

    Their wordsThe administration believes the performance of a surgeon cannot be separated from that of his or her institution as quality is highly dependent on institutional systems.

    ↗The legacy of Bristol: public disclosure of individual surgeons' results (with 5 co-authors)doi.org All 5 from this paper

  7. DS

    David Spiegelhalter quoted

    Our readingCasemix makes it unwise to publish surgeons' unadjusted mortality figures for comparison.

    Their wordsBecause of this casemix influence it would not be sensible to publish unadjusted mortality by surgeon.

    ↗The legacy of Bristol: public disclosure of individual surgeons' results (with 5 co-authors)doi.org All 5 from this paper

  9. DS

    David Spiegelhalter quoted

    Our readingA single risk-adjusted summary of a surgeon's results risks giving spurious credibility to analyses that ignore non-patient influences.

    Their wordsThe use of a single risk adjusted number to summarise a surgeon's results runs the risk of lending a level of spurious credibility to an analysis that does not take into account the impact of influences that are not patient related.

    ↗The legacy of Bristol: public disclosure of individual surgeons' results (with 5 co-authors)doi.org All 5 from this paper

  11. DS

    David Spiegelhalter quoted

    Our readingNon-risk-adjusted mortality data cannot support patient choice and only signal that a fuller review is required.

    Their wordsNo conclusions can be drawn until a full review has taken place. This sort of data cannot contribute to patient choice.

    ↗The legacy of Bristol: public disclosure of individual surgeons' results (with 5 co-authors)doi.org All 5 from this paper