Monitoring Surgical Performance: Current Models and Limitations

Abstract

SOJ Surgery Open Access Opinion Article differences in performance quality and the absence of an efficient assessment tool. The absence of an efficient assessment tool and consistent differences among individual performance quality are major drawbacks when it comes to developing a performance evaluation system. Numerous attempts to evaluate surgical outcomes have been carried out via forced ranking systems used in corporations, but their accuracy remains questionable. Despite their limitations, data suggests that performance assessment will improve surgical practice, outcomes and reduce costs. Standardizing surgical care will permit to streamline procedures and eliminate negative implications comprising the working environment. Doing so will help reduce unnecessary costs and minimize complications. Further evaluations of the available models are needed to reach these goals. In this article, we review the currently available evaluation models used in surgical practice to highlight their advantages and limitations Analyzing in depth these evaluation models, we will be able to identify the appropriate method resulting in a better surgical outcome. Discussion Various strategies aiming at evaluating individual productivity relying on management science have proved rather controversial. Biometric systems vitality curve or forced ranking, are based upon presumably objective data, allowing to classify the best and least efficient performers. Policies vary among companies; e.g., the former General Electric CEO, Jack Welch, proposes to reward the top 20 percent, to coach the middle 70 percent and disregard the bottom Abstract Purpose: The article aims to evaluate methods currently used to monitor surgical performance. Different model's advantages and limitations are analyzed to possibly identify the best model of assessment.