| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 2004;77:1137-1139
© 2004 The Society of Thoracic Surgeons
a Division of Cardiothoracic Surgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA
b Louisiana State University Health Sciences Center, New Orleans, Louisiana, USA
c Outcome Research and Assessment Group, Duke Clinical Research Institute, Durham, North Carolina, USA
d Iowa Foundation for Medical Care, West Des Moines, Iowa, USA
* Address reprint requests to Dr Welke, Division of Cardiothoracic Surgery, University of Iowa Hospitals and Clinics, 200 Hawkins Dr, Iowa City, IA 52242, USA.
e-mail: karl-welke@uiowa.edu
Abbreviations: CABG • Coronary artery bypass grafting • IASTS • Iowa Society of Thoracic Surgeons • IFMC • Iowa Foundation for Medical Care • MEDPAR • Medicare Provider and Analysis Review • NCD • National Adult Cardiac Surgery Database • STS • The Society of Thoracic Surgeons
| The first 300 words of the full text of this article appear below. |
In 1989, The Society of Thoracic Surgeons (STS) created a national voluntary cardiac surgery database as a means of supporting national quality improvement efforts [1]. The database has grown to become the largest clinical database of its kind, and includes 638 hospitals and clinical information from 2,164,079 surgical procedures. This provider-supported database allows participants to benchmark their risk-adjusted results against regional and national standards. In addition, it provides data for research projects that can improve the process of patient care and outcomes. It has also been used to support quality improvement efforts. Each of these uses, however, is dependent on an accurate and complete clinical database. The purpose of this article is to provide the STS membership with a description of the ongoing efforts to assure validity of the National Adult Cardiac Surgery Database (NCD). In particular, we will highlight examples of data quality assurance mechanisms occurring at three levels: internally, regionally, and nationally.
Internal data quality improvement efforts
The site data managers play a crucial role in ensuring the quality of the data being submitted to the NCD. To support these key individuals, the STS has initiated annual site data manager meetings. These well-attended meetings generate in-depth discussions and suggestions about how to best collect the data, the application of clinical data definitions, and other topics related to the overall quality of the database.
In addition, several steps have been added to the data collection process of the NCD with the intent of improving data quality. First, the STS has worked extensively with database vendors to develop point of entry data quality controls. For instance, if a patient is identified as having died during the original hospitalization and the field "date of death" is left blank, the software requires that the expected date of death be entered. These checks assure internal data consistencies
This article has been cited by other articles:
|
|
 |
|
  M. Tabata, J. D. Grab, Z. Khalpey, F. H. Edwards, S. M. O'Brien, L. H. Cohn, and R. M. Bolman III Prevalence and Variability of Internal Mammary Artery Graft Use in Contemporary Multivessel Coronary Artery Bypass Graft Surgery: Analysis of the Society of Thoracic Surgeons National Cardiac Database Circulation, September 15, 2009; 120(11): 935 - 940. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. M. Shahian, S. M. O'Brien, G. Filardo, V. A. Ferraris, C. K. Haan, J. B. Rich, S.-L. T. Normand, E. R. DeLong, C. M. Shewan, R. S. Dokholyan, et al. The Society of Thoracic Surgeons 2008 cardiac surgery risk models: part 1--coronary artery bypass grafting surgery. Ann. Thorac. Surg., July 1, 2009; 88(1 Suppl): S2 - 22. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. S. Teirstein Percutaneous Revascularization Is the Preferred Strategy for Patients With Significant Left Main Coronary Stenosis Circulation, February 24, 2009; 119(7): 1021 - 1033. [Full Text] [PDF]
|
|
|
|
|
|
N. Motomura, H. Miyata, H. Tsukihara, M. Okada, S. Takamoto, and Japan Cardiovascular Surgery Database Organization First Report on 30-day and Operative Mortality in Risk Model of Isolated Coronary Artery Bypass Grafting in Japan Ann. Thorac. Surg., December 1, 2008; 86(6): 1866 - 1872. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E. Gongora and T. M. Sundt III Myocardial Revascularization with Cardiopulmonary Bypass Card. Surg. Adult, January 1, 2008; 3(2008): 599 - 632. [Full Text]
|
|
|
|
|
|
S. M. O'Brien, E. R. DeLong, R. S. Dokholyan, F. H. Edwards, and E. D. Peterson Exploring the Behavior of Hospital Composite Performance Measures: An Example From Coronary Artery Bypass Surgery Circulation, December 18, 2007; 116(25): 2969 - 2975. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. F. Welke, E. D. Peterson, M. S. Vaughan-Sarrazin, S. M. O'Brien, G. E. Rosenthal, G. J. Shook, R. S. Dokholyan, C. K. Haan, and T. B. Ferguson Jr Comparison of Cardiac Surgery Volumes and Mortality Rates Between The Society of Thoracic Surgeons and Medicare Databases From 1993 Through 2001 Ann. Thorac. Surg., November 1, 2007; 84(5): 1538 - 1546. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. F. Hernandez, J. D. Grab, J. S. Gammie, S. M. O'Brien, B. G. Hammill, J. G. Rogers, M. T. Camacho, M. K. Dullum, T. B. Ferguson, and E. D. Peterson A Decade of Short-Term Outcomes in Post Cardiac Surgery Ventricular Assist Device Implantation: Data From the Society of Thoracic Surgeons' National Cardiac Database Circulation, August 7, 2007; 116(6): 606 - 612. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. K. Haan, S. Milford-Beland, S. O'Brien, D. Mark, M. Dullum, T. B. Ferguson, and E. D. Peterson Impact of Residency Status on Perfusion Times and Outcomes for Coronary Artery Bypass Graft Surgery Ann. Thorac. Surg., June 1, 2007; 83(6): 2103 - 2110. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. R. Bridges, S. M. O'Brien, J. C. Cleveland, E. B. Savage, J. S. Gammie, F. H. Edwards, E. D. Peterson, and F. L. Grover Association between indices of prosthesis internal orifice size and operative mortality after isolated aortic valve replacement J. Thorac. Cardiovasc. Surg., April 1, 2007; 133(4): 1012 - 1021. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. M. Shahian, F. H. Edwards, V. A. Ferraris, C. K. Haan, J. B. Rich, S.-L. T. Normand, E. R. DeLong, S. M. O'Brien, C. M. Shewan, R. S. Dokholyan, et al. Quality Measurement in Adult Cardiac Surgery: Part 1--Conceptual Framework and Measure Selection Ann. Thorac. Surg., April 1, 2007; 83(4_Supplement): S3 - S12. [Full Text] [PDF]
|
|
|
|
|
|
E. B. Savage, J. D. Grab, S. M. O'Brien, A. Ali, E. J. Okum, R. A. Perez-Tamayo, D. S. Eiferman, E. D. Peterson, F. H. Edwards, and R. S.D. Higgins Use of Both Internal Thoracic Arteries in Diabetic Patients Increases Deep Sternal Wound Infection Ann. Thorac. Surg., March 1, 2007; 83(3): 1002 - 1006. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
V. J. DiSesa, S. M. O'Brien, K. F. Welke, S. M. Beland, C. K. Haan, M. S. Vaughan-Sarrazin, and E. D. Peterson Contemporary Impact of State Certificate-of-Need Regulations for Cardiac Surgery: An Analysis Using the Society of Thoracic Surgeons' National Cardiac Surgery Database Circulation, November 14, 2006; 114(20): 2122 - 2129. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. K. Haan, S. O'Brien, F. H. Edwards, E. D. Peterson, and T. B. Ferguson Trends in emergency coronary artery bypass grafting after percutaneous coronary intervention, 1994-2003. Ann. Thorac. Surg., May 1, 2006; 81(5): 1658 - 1665. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
W. A. Cooper, S. M. O'Brien, V. H. Thourani, R. A. Guyton, C. R. Bridges, L. A. Szczech, R. Petersen, and E. D. Peterson Impact of Renal Dysfunction on Outcomes of Coronary Artery Bypass Surgery: Results From the Society of Thoracic Surgeons National Adult Cardiac Database Circulation, February 28, 2006; 113(8): 1063 - 1070. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
V. G. Fowler Jr, S. M. O'Brien, L. H. Muhlbaier, G. R. Corey, T. B. Ferguson, and E. D. Peterson Clinical Predictors of Major Infections After Cardiac Surgery Circulation, August 30, 2005; 112(9_suppl): I-358 - I-365. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. K. Young, D. A. Foster, S. T. Heller, D. J. Ballard, F. H. Edwards, K. F. Welke, S. Levitsky, P. Cram, G. E. Rosenthal, and M. S. Vaughan-Sarrazin Cardiac revascularization in specialty and general hospitals. N. Engl. J. Med., June 30, 2005; 352(26): 2754 - 2756. [Full Text] [PDF]
|
|
|
|
 |
|
 R. H. Jones The Year in Cardiovascular Surgery J. Am. Coll. Cardiol., May 3, 2005; 45(9): 1517 - 1528. [Full Text] [PDF]
|
|
|
|
|
|
N. E. Taylor, S. O'Brien, F. H. Edwards, E. D. Peterson, and C. R. Bridges Relationship Between Race and Mortality and Morbidity After Valve Replacement Surgery Circulation, March 15, 2005; 111(10): 1305 - 1312. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. L. Mehta Acute Renal Failure and Cardiac Surgery: Marching in Place or Moving Ahead? J. Am. Soc. Nephrol., January 1, 2005; 16(1): 12 - 14. [Full Text] [PDF]
|
|
|
|
|
|
C. K. Haan, C. I. Cabral, D. A. Conetta, L. P. Coombs, and F. H. Edwards Selecting patients with mitral regurgitation and left ventricular dysfunction for isolated mitral valve surgery Ann. Thorac. Surg., September 1, 2004; 78(3): 820 - 825. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
