Closing the loop: Optimizing physicians' operational and strategic behavior

被引:15
作者
Sergeant, PT
Blackstone, EH
机构
[1] Katholieke Univ Leuven, Louvain, Belgium
[2] Cleveland Clin Fdn, Cleveland, OH 44195 USA
关键词
D O I
10.1016/S0003-4975(99)00627-X
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Clinical databases are essential elements in optimizing medical care. They are no finality by themselves, but essential elements in the generation of knowledge. Optimal medical care starts with optimal care based on existing knowledge. This care continues with the registration of the variability in morbidity, comorbidity, and therapy, but also the registration of the early and late outcome. This should then allow the generation of structured inferences based on this registration and the closure of the loop, by treating patients according to this newly created evidence. (C) 1999 by The Society of Thoracic Surgeons.
引用
收藏
页码:362 / 366
页数:5
相关论文
共 6 条
[1]   THE DECOMPOSITION OF TIME-VARYING HAZARD INTO PHASES, EACH INCORPORATING A SEPARATE STREAM OF CONCOMITANT INFORMATION [J].
BLACKSTONE, EH ;
NAFTEL, DC ;
TURNER, ME .
JOURNAL OF THE AMERICAN STATISTICAL ASSOCIATION, 1986, 81 (395) :615-624
[2]  
KIRKLIN J, 1991, CARDIAC SURG, V2, P344
[3]   The meaning of early mortality after CABG [J].
Osswald, BR ;
Blackstone, EH ;
Tochtermann, U ;
Thomas, G ;
Vahl, CF ;
Hagl, S .
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 1999, 15 (04) :401-407
[4]   Is return of angina after coronary artery bypass grafting immutable, can it be delayed, and is it important? [J].
Sergeant, P ;
Blackstone, E ;
Meyns, B .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 1998, 116 (03) :440-451
[5]   Validation and interdependence with patient-variables of the influence of procedural variables on early and late survival after CABG [J].
Sergeant, P ;
Blackstone, E ;
Meyns, B .
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 1997, 12 (01) :1-19
[6]   Can the outcome of coronary bypass grafting be predicted reliably? [J].
Sergeant, P ;
Blackstone, E ;
Meyns, P .
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 1997, 11 (01) :2-9