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.
Regenbogen SE, Dimick JB. Using Clinical Registries to Enhance Implementation Research. JAMA Surg. 2018;153(4):366. doi:10.1001/jamasurg.2017.4912
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