Measuring quality in orthopaedic surgery: the use of metrics in quality management.
There has been a substantial shift in the assessment of outcomes in medicine, including orthopaedic surgery. The quality movement is redefining the delivery of health care. The effect of these changes on orthopaedic surgery and orthopaedic surgeons has been significant and will become increasingly important. Orthopaedic surgeons must become active participants in the quality movement by understanding the basic principles of the movement and how they apply to patient care. A clear understanding of the different agencies (governmental and private) that are leading these initiatives is also essential. Ultimately, active participation in the quality movement will enhance the care provided to patients with musculoskeletal disorders.
Vice Chair, Department of Orthopaedic Surgery, New York University Hospital for Joint Diseases, New York, New York.
Joseph A
JA
Bosco
Ranjan
R
Sachdev
Louis A
LA
Shapiro
Spencer M
SM
Stein
Joseph D
JD
Zuckerman
D006760:Hospitalization; D006801:Humans; D009985:Orthopedics; D017063:Outcome Assessment, Health Care / Q000458:organization & administration*; D010816:Physician Incentive Plans; D010819:Physician's Role; D011785:Quality Assurance, Health Care / Q000458:organization & administration*; D058996:Quality Improvement / Q000458:organization & administration*; D014481:United States