7 ms·

On a related vein, do surgical procedures involve any type of quality control, where the work is independently audited? If so I wasn't aware. Quality control is

On a related vein, do surgical procedures involve any type of quality control, where the work is independently audited? If so I wasn't aware. Quality control is such an important cogwheel of processes in many other industries, yet I don't hear much talk of it in relation to medical profession.

Dayshine 9y ago
Yes, at least in the UK, we have a series of national clinical audit programmes.
prepend 9y ago
There are process checklist reviews (http://qualitysafety.bmj.com/content/23/4/299 http://qualitysafety.bmj.com/content/23/4/299) and medical review panels (https://mrp.ky.gov/Pages/index.aspx https://mrp.ky.gov/Pages/index.aspx).
- deleted 9y ago
  [deleted]
fricat1ve 9y ago
In the US, if the surgery is in hospital: - Well-regarded hospitals will vet surgeons before granting privileges. - Average hospitals give out privileges fairly easily if there are no actions against a person's license. - There is a "collegial" review of big screw-ups that carry major reputational risk. - As with any fee-for-service firm, "rainmakers" are highly sought after and get away with more. - Privileges are difficult to take away once granted. (Have stronger legal protections than academic tenure in some states.) If the surgery is in an ambulatory surgery center or doctor's office: Basically anything goes. Ice-pick lobotomies, tonsillectomy mills, boob job factories in strip malls....all have happened in recent US history. About as well-regulated as traveling carnivals.
- billfruit 9y ago
  I was thinking something more akin to routine inspection program carried out by independent personnnel applicable to all procedures, not just the reviews that are necessitated due to screw ups.
  - fricat1ve 9y ago
    As far as a performance evaluation that directly scores a surgeon's judgment and whether the procedures s/he is performing are actually beneficial...in the absence of a big screw-up or complaint, I don't believe there is any forum to do that after training is complete.
vermontdevil 9y ago
Yes they have process and analysis for quality purposes You can see one example here https://www.facs.org/advocacy/quality/phases https://www.facs.org/advocacy/quality/phases

Dayshine 9y ago

Yes, at least in the UK, we have a series of national clinical audit programmes.

prepend 9y ago

There are process checklist reviews (http://qualitysafety.bmj.com/content/23/4/299 http://qualitysafety.bmj.com/content/23/4/299) and medical review panels (https://mrp.ky.gov/Pages/index.aspx https://mrp.ky.gov/Pages/index.aspx).

deleted 9y ago
[deleted]

fricat1ve 9y ago

In the US, if the surgery is in hospital: - Well-regarded hospitals will vet surgeons before granting privileges. - Average hospitals give out privileges fairly easily if there are no actions against a person's license. - There is a "collegial" review of big screw-ups that carry major reputational risk. - As with any fee-for-service firm, "rainmakers" are highly sought after and get away with more. - Privileges are difficult to take away once granted. (Have stronger legal protections than academic tenure in some states.) If the surgery is in an ambulatory surgery center or doctor's office: Basically anything goes. Ice-pick lobotomies, tonsillectomy mills, boob job factories in strip malls....all have happened in recent US history. About as well-regulated as traveling carnivals.

billfruit 9y ago
I was thinking something more akin to routine inspection program carried out by independent personnnel applicable to all procedures, not just the reviews that are necessitated due to screw ups.
- fricat1ve 9y ago
  As far as a performance evaluation that directly scores a surgeon's judgment and whether the procedures s/he is performing are actually beneficial...in the absence of a big screw-up or complaint, I don't believe there is any forum to do that after training is complete.

vermontdevil 9y ago

Yes they have process and analysis for quality purposes You can see one example here https://www.facs.org/advocacy/quality/phases https://www.facs.org/advocacy/quality/phases