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Titlebook: Success in Academic Surgery: Health Services Research; Justin B. Dimick,Caprice C. Greenberg Book 20141st edition Springer-Verlag London 2

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Understanding and Changing Organizational Culture in Surgeryear—provide quality, safe, efficient, patient-centered care. How best to achieve this goal, however, remains unclear. This chapter will outline the differences between organizational climate and culture, the current methods for measuring safety climate and culture, and finally ways to expand our cur
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Assessing Patient-Centered Outcomes that measurably benefit . patients. Over the past decade, therefore, we have seen an accelerating paradigm shift from “objective” provider-centered care toward a more subjective patient-centered model of care, which prioritizes individual patient autonomy and holistic well-being. The basic concepts
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Collaborative Quality Improvement culture of knowledge sharing, and takes into account differences in local contexts. It is in this regard that collaborative quality improvement (CQI) efforts are most effective. CQI involves multi-institutional teams who meet to share data through centralized, clinical registries and work collectiv
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Large Databases Used for Outcomes Researchlivery system reforms, or variation in use of services across regions. These analyses not only require large sample size, but also diverse practice settings. There are two main sources of secondary datasets, administrative databases and clinical registries, each with their advantages and disadvantag
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Medical Decision-Making Research in Surgeryisions are challenging because they involve tradeoffs among high-stake risks and benefits, such as risk of stroke or restoration of bowel continuity. Other decisions are challenging because they involve deeply personal issues for the patient, such as continence or breast appearance. The ability of s
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Measuring Health Care Quality in Surgery: Strategies, Limitations, and Currently Available Initiativsurement are discussed. Finally, currently available surgical quality measurement programs are highlighted. Surgical quality measurement is a rapidly growing field and will be a critical component of every surgeon’s practice in the near future.
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