title: Quality, Safety, Value: From Theory to Practice Management What Should We Measure?
abstract: Over the past 35 years the health care community and in particular orthopaedic surgery, has undergone a transformation from retrospective case-series-based expert opinion to randomized prospective clinical trials. During this transition, orthopaedic surgeons have become very skilled in the measurement of physician-derived outcomes (radiographic angles, complications, recurrences, and mortality); however, these are not patient-centered outcomes and they are of little importance to our patients' satisfaction. Moving forward outcome measurement needs to be restructured to focus more on patient-reported outcomes. This paper outlines why outcome measurement is important, reviews outcome strategies that have been used historically, introduces a new outcome measurement tool and identifies strategies for future implementation and measurement of health care quality and value within pediatric orthopaedics.
authors.affiliation: Boston Children's Hospital, Boston, MA.
authors.forename: Benjamin J
authors.initials: BJ
authors.lastname: Shore
authors.forename: Robert F
authors.initials: RF
authors.lastname: Murphy
authors.forename: Grant D
authors.initials: GD
authors.lastname: Hogue
mesh_terms: D002648:Child; D006801:Humans; D019637:Orthopedic Procedures / Q000592:standards; D009985:Orthopedics / Q000458:organization & administration / Q000639:trends; D017060:Patient Satisfaction; D011787:Quality of Health Care / Q000639:trends; D016896:Treatment Outcome