0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Viewpoint |

A Case for Improving Measurement of Intraoperative Iatrogenic Injuries ONLINE FIRST

Jennifer L. Paruch, MD1,2; Clifford Y. Ko, MD, MS, MSHS1,3,4; Karl Y. Bilimoria, MD, MS1,5
[+] Author Affiliations
1Division of Research and Optimal Patient Care, American College of Surgeons, Chicago, Illinois
2Department of Surgery, University of Chicago Pritzker School of Medicine, Chicago, Illinois
3Department of Surgery, UCLA (University of California, Los Angeles)
4VA Greater Los Angeles Healthcare System, Los Angeles, California
5Surgical Outcomes and Quality Improvement, Department of Surgery and Northwestern Institute for Comparative Effectiveness Research in Oncology, Robert H. Lurie Comprehensive Cancer Center, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
JAMA Surg. Published online July 09, 2014. doi:10.1001/jamasurg.2013.5237
Text Size: A A A
Published online

Extract

Patients, payers, and policy organizations have demonstrated a significant interest in using intraoperative iatrogenic injury as a quality measure. These complications are high-profile and controversial measures of patient safety because they are often discreet occurrences that can be attributed to a specific encounter or physician, and they are events that the public largely perceives as preventable. However, efforts to use intraoperative iatrogenic injury as an outcome measure for either quality improvement or profiling physicians have been limited by problems with the Agency for Healthcare Research and Quality’s (AHRQ) patient safety indicator (PSI)–15 for accidental puncture and laceration, resulting in widespread objection from the surgical community.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles
Jobs
brightcove.createExperiences();