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Measuring Surgical Quality

Doctors are developing new ways to test—and improve—operating room performance

Lola Butcher
Knowable Magazine
Mon, 11/18/2019 - 12:02
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Any patient scheduled for surgery hopes, and maybe assumes, that his surgeon will do a high-quality job. Surgeons know better. Nearly three decades of research have made clear that some hospitals and surgeons have significantly better outcomes than others.

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Exactly how to measure the quality of a surgeon’s skills, however, is up for debate. Surgical volume—the number of operations of a specific kind performed at a hospital or by an individual surgeon—is known to be a good marker for quality. But it’s not perfect. For example, looking only at hospitals that perform at least 125 bariatric surgeries per year, a recent review found that the rate of serious complications ranged from less than 1 percent to more than 10 percent.

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