title: Hysterectomy: benefits of clinical performance indicators in the evaluation of healthcare facilities.
abstract: OBJECTIVE
  The aim of our study was to verify, by applying clinical performance indicators, the quality of healthcare given to hysterectomy patients and the benefits on their adoption in healthcare facilities.
  
  
  METHODS
  The different surgical approaches and indications for surgery were evaluated in 534 patients analysing postoperative short-term complications and triggered clinical performance indicators (CPIs).
  
  
  RESULTS
  Surgery was performed by the abdominal (80.9%) and vaginal route (19.1%). Postoperative complication rate was 13.5% and CPIs were triggered 108 times overall: 42 in benign conditions (10.3%) and 30 in malignancy (23.4%) (p = 0.001). In patients operated on for benign conditions the different approaches, abdominal or vaginal, showed differences in postoperative period (p = 0.4). In 10.9% of malignant and in 2.9% of benign conditions hospital stay was triggered (p = 0.001). Vaginal surgery showed a shorter average stay than laparotomy (p = 0.001).
  
  
  CONCLUSIONS
  The use of CPIs may determine a refinement of clinical performance with positive effects on health, patient satisfaction, postoperative morbidity hospitalisation and healthcare cost savings.
authors.affiliation: Department of Gynecological, Obstetrical Sciences and Reproductive Medicine, University of Messina, Messina, Italy.
authors.forename: A
authors.initials: A
authors.lastname: Mancuso
authors.forename: A
authors.initials: A
authors.lastname: De Vivo
authors.forename: O
authors.initials: O
authors.lastname: Triolo
authors.forename: S
authors.initials: S
authors.lastname: Irato
authors.forename: G
authors.initials: G
authors.lastname: Mazzù
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D017048:Health Care Costs; D006801:Humans; D007044:Hysterectomy / Q000191:economics / Q000379:methods / Q000592:standards*; D007902:Length of Stay; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology*; D019984:Quality Indicators, Health Care; D012189:Retrospective Studies; D014591:Uterine Diseases / Q000601:surgery*