By September 29, 2016 1 Comments Read More →

Does the Size of a Hospital Matter for Quality of Surgery?

I’m away on vacation through October 10th, but I’ve scheduled the posting of an article of interest most weekdays. Feel free to comment and share your thoughts on each and I hope you keep up your daily habit of reading the blog.

This article caught my eye recently:

Doctors usually think bigger hospitals offer better surgery. Turns out, we’re wrong.

(via Vox)


From the early section of the article:

It turns out my mom’s hunch was right: My colleagues and I have found through research that big, academic medical centers don’t outperform local hospitals when it comes to common procedures. This upends some of health care’s most conventional wisdom — that the places with the highest volume of care provide the best quality — and suggests a different mindset for patients shopping for care.

We usually think large, academic hospitals are best. That’s not always right.

What do you think? Post a comment and I’ll do my best to moderate and approve them while I’m away.

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Mark Graban's passion is creating a better, safer, more cost effective healthcare system for patients and better workplaces for all. Mark is a consultant, author, and speaker in the "Lean healthcare" methodology. He is author of the Shingo Award-winning books Lean Hospitals and Healthcare Kaizen, as well as The Executive Guide to Healthcare Kaizen. His most recent project is an eBook titled Practicing Lean that benefits the Louise H. Batz Patient Safety Foundation, where Mark is a board member. Mark is also the VP of Improvement & Innovation Services for the technology company KaiNexus.

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1 Comment on "Does the Size of a Hospital Matter for Quality of Surgery?"

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  1. Mike Davidge says:

    Hi Mark

    There is evidence of a quality/volume relationship but it is about individual surgeons not centres. And that relationship is not linear. Below about 20 procedures per year per type of procedure quality drops off (mortality increases). Above 20 and the volume itself does not make much difference and other factors come into play.

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