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Invited Commentary
April 2018

Using Clinical Registries to Enhance Implementation Research

Author Affiliations
  • 1Department of Surgery, University of Michigan, Ann Arbor
  • 2Center for Healthcare Outcomes & Policy, University of Michigan, Ann Arbor
  • 3Surgical Innovation Editor, JAMA Surgery
JAMA Surg. 2018;153(4):366. doi:10.1001/jamasurg.2017.4912

The advent of the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) and other national registries has enabled broadscale audit and feedback on risk-adjusted outcomes for surgery in the United States. Surgeons and hospitals can benchmark performance against peer institutions nationwide and target low-performing areas for quality improvement initiatives. However, these local improvement efforts have been largely left to individual institutions to design, implement, and evaluate.