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Invited Critique
April 2001

Is Unplanned Return to the Operating Room a Useful Quality Indicator in General Surgery?—Invited Critique

Arch Surg. 2001;136(4):411. doi:10.1001/archsurg.136.4.411

The second most difficult decision in surgery is when to operate. The most difficult decision is when to reoperate.—Claude H. Organ, Jr, MD

The VA Outcomes Group and the Quality Scholars Program at Dartmouth led by John Birkmeyer, MD, have undertaken a review of unplanned returns to the operating room following a series of general surgery cases. The purpose of their presentation is the utilization of these data as a means of assessing the quality of a general surgery service.