Correspondence and Brief Communications |

The Validity of Unplanned Returns to the Operating Room as an Indicator of Quality of Hospital Care

Joël Ladner, MD, PhD; Jean Philippe Torre, MD, PhD; Jacques Watelet, MD, PhD; Pierre Czernichow
Arch Surg. 2002;137(4):493. doi:.
Text Size: A A A
Published online


We read with interest the article by Birkmeyer et al,1 who assessed unplanned returns to the operating room (OR) as a quality indicator of a general surgery department. The authors point out that this may be an attractive and useful quality indicator because it is a relatively easy and inexpensive factor to identify with administrative and clinical data.

We conducted a study on the incidence of and risk factors for unplanned return to the OR in the vascular surgery department of Rouen University Hospital (Rouen, France) using the Diagnosis-Related Groups 1997 database. The first part of our study concerned the evaluation of this database's validity. During a 3-month period, the reporting and coding of surgical and anesthetic procedures for patients with unplanned returns to the OR were assessed using OR registers as the standard reference; 99 patients with a return to the OR and 438 patients without were included.

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview





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.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


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

Sign In to Access Full Content

Related Content

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

Articles Related By Topic
Related Topics
PubMed Articles