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EDITORIAL |
China
| The first 20% of the full text of this article appears below. |
The goal of comprehensive quality assurance in cardiac surgery is quite simply to provide a mechanism whereby the patient is subjected to the least threatening journey through the hospital and is assured of an outcome that conforms to internationally accepted norms. For this to be achieved, there must be a robust framework in place, providing ongoing assessment, multidisciplinary input, and monitoring of all variables that affect the patients journey. Important areas of assessment within this framework include patient outcomes (surgical results), appropriateness of care, institutional performance, resource management, and patient and healthcare provider satisfaction.
The assessment of surgical outcome following cardiac surgery is routine and public in many countries. In the United Kingdom, for the first time last year, individual surgical results were published in the national press.1 There is an annual report from the Society of Cardiothoracic Surgeons of England and Ireland in the public domain, which gives institutional results and aims to educate both the public and profession alike on the difficulties and pitfalls of preoperative risk assessment and the complexities of analyzing and reporting surgical performance.2 There is a national quality accreditation program ongoing, organized by the Society, which will ensure that
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