Sunday, October 11, 2009

Surgical Deaths Linked to Handling of Complications

(HealthDay News) -- The way that a hospital handles the complications of surgery, not just the rate of those complications, determines the hospital's surgical death rate, a new study has found.

The study, which included more than 84,000 people who had surgery in U.S. hospitals, found about a twofold difference in surgical deaths between hospitals with the lowest rate and those with the highest -- 3.5 percent vs. 6.9 percent. This occurred despite a small difference in the overall rate of complications -- 24.6 percent in the hospitals with the lowest surgical mortality rate and 26.9 percent in those with the highest.

The emphasis in recent years has been on reducing the rate of surgical complications, said Dr. Justin B. Dimick, assistant professor of surgery at the University of Michigan and a co-author of the study, published in the Oct. 1 issue of the New England Journal of Medicine. Many hospitals have established point-by-point checklists that surgeons go through before operating. Read more...

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