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Hospital Referral Program May Not Improve Surgery Outcome | Daytona Beach Malpractice Lawyer

Hospital Referral Program May Not Improve Surgery Outcome

Referring patients to hospitals that have the largest volume of surgical procedures does not necessarily lead to improved outcomes for the overall population, according to a new study.

The findings of studies that suggest the higher the volume of specialty surgical procedures performed at any given hospital, the better that hospital’s outcomes will be, has resulted in calls for volume-based referrals. Most notably leading that call has been the Leapfrog Group’s Evidence-Based Hospital Referral (EBHR) program, which launched a decade ago.

Researchers hypothesized that volume-based referrals would “regionalize” patients to hospitals meeting an EBHR volume metric and that, as a result, overall patient outcomes for these procedures would improve on a statewide basis.

However, according to a new study in Washington State, the impact on patient outcomes across the state was negligible when a greater proportion of pancreatic and esophageal resections were performed at higher volume hospitals that met a given EBHR volume metric.

In general, rates of adverse events were lower at hospitals meeting an EBHR volume metric. However, across Washington State and at non-EBHR centers, rates of mortality, readmission, and complications generally did not improve in the seven years following the introduction of the EBHR initiative.

“This statewide analysis suggests Leapfrog’s EBHR initiative has not had the intended impact of lowering the rate of adverse outcomes for all surgical patients having higher risk surgical procedures. Although there are many potential reasons for this finding, it may be the result of higher risk surgical patients not seeking care at higher volume centers,” said Dr. Nader N. Massarweh, a surgical resident at the University of Washington School of Medicine in Seattle and the study’s lead author, in a news release.

The study was published in the February issue of the “Journal of the American College of Surgeons.”

For more on medical safety issues, see the library of articles by Daytona Beach medical malpractice attorney.



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