tag:blogger.com,1999:blog-4968787219619380438.post984722533380146171..comments2023-09-21T04:02:29.457-04:00Comments on Skeptical Scalpel: Chance can turn a surgeon into a killerSkeptical Scalpelhttp://www.blogger.com/profile/13206922456661320751noreply@blogger.comBlogger2125tag:blogger.com,1999:blog-4968787219619380438.post-29298690995466305292014-09-09T07:56:05.817-04:002014-09-09T07:56:05.817-04:00I agree that it's difficult to measure quality...I agree that it's difficult to measure quality and the Michigan bariatric study was a good step toward doing that although it is very time consuming and somewhat subjective. <br /><br />Back in November, I discussed some of the difficulties associated with video review for all surgeons. here's the link http://skepticalscalpel.blogspot.com/2013/11/should-all-surgeons-have-video.htmlSkeptical Scalpelhttps://www.blogger.com/profile/13206922456661320751noreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-56632506448969853282014-09-09T00:39:09.479-04:002014-09-09T00:39:09.479-04:00Hmm, I agree entirely that quality is nigh-impossi...Hmm, I agree entirely that quality is nigh-impossible to measure. But I recall that the Michigan Bariatric Surgery Video Review study showed clearly that there are differences between surgeons in surgical quality and probably some difference in measures of morbidity/mortality.<br /><br />So can these measures give us any information, at all? In other words, will the signal (the true measure of surgical skill and quality) rise above the noise of random variation?<br /><br />Regardless of the answer to that question however, I think solid evidence exists that the best way to improve would probably be to keep this data private, and let hospitals and doctors drive themselves to improve- as opposed to high-pressure incentives that have backfired so many times and resulted in more harm than good.<br /><br />Respectfully,<br />Vamsi AribindiVamsi Aribindihttps://www.blogger.com/profile/05182545135805006712noreply@blogger.com