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Case Studies >
 Case
Study: Objective Surgical Mortality Analysis
Situation:
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A large teaching tertiary care facility wants to objectively review each
mortality case for a selected surgical subspecialty
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Focus is on overall program improvement, not just practitioner competency for
the evaluation
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Peer review is to be used to "drill down" to commonalities in technical,
equipment, process and emergency decision making impacting patient care and
safety
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Findings to be used to enhance competitive edge in market share and surgical
outcomes
QMCG Team Role:
Conducted an objective and independent review of all mortalities for all
surgeons in the target surgical specialty during a specific timeframe using an
eight (8) step process:
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Select a nationally recognized surgical leader to conduct the objective
retrospective peer review
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Enhance surgical criteria for expanded evaluation capture
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Offsite objective record/film review with planned onsite program visit after
peer review completed
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Report (for each surgeon) development
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Opportunity for Committee conference call with Reviewer to review objective
peer review findings
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Onsite program evaluation and assessment of subjective program data to make
suggestions for program improvements
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Onsite report of program opportunities for improvements and program
prioritizations
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Ongoing "as needed" support continues
Peer Review Study Conclusions:
Surgical case selection criteria needed honing and program hardware needed
upgrading. One surgeon required proctoring in a specific technique.
Facility Accomplishments:
Since receipt of the reports and conclusion of all conference calls:
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Program is scheduled for fiscal infusion to upgrade equipment
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Multi-disciplinary surgical case selection criteria has been revised
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Surgeons were heard and supported
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Confirmation of sound and safe quality care delivery
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