Does physician benchmarking improve performance of laparoscopically assisted vaginal hysterectomy?

Abstract:

BACKGROUND:Benchmarking techniques were implemented to optimize operating time and charges associated with laparoscopically assisted vaginal hysterectomy (LAVH). MATERIALS AND METHODS:The baseline LAVH profile over a period of 4 years (167 cases) was compared with 1-year data (47 cases) after a benchmarking educational program (disseminating data ranking performance by each surgeon plus suggestions for improvement). Preintervention and postintervention profiles were compared by means of Student t test and wilcoxon rank sum analysis. Hierarchical multiple regression was used to identify additional sources of variation for operative charges and time. RESULTS:Mean operating times after implementing benchmarking were lower, averaging 182 versus 197 minutes in the control subjects (P = 0.05). We found no significant difference in total or operative charges. After adjusting for potential confounders, benchmarking remained associated with decreased operating time in the multivariate model (P = 0.01). CONCLUSIONS:LAVH operating times decreased after a surgical benchmarking and education intervention, but operating charges did not.

journal_name

South Med J

journal_title

Southern medical journal

authors

Tu FF,Feinglass J,Milad MP

doi

10.1097/01.smj.0000176713.71878.63

subject

Has Abstract

pub_date

2005-09-01 00:00:00

pages

883-7

issue

9

eissn

0038-4348

issn

1541-8243

journal_volume

98

pub_type

杂志文章
  • Religion, aging, and health: exploring new frontiers in medical care.

    abstract::The purpose of this review article is to selectively examine research that was designed to evaluate the relation between religious involvement and health among older people. Four facets of religion are examined in detail: church-based social support, religious coping, forgiveness, and prayer. In addition, potential ne...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/01.SMJ.0000146488.39500.03

    authors: Krause N

    更新日期:2004-12-01 00:00:00

  • Cerebrospinal rhinorrhea: diagnosis and management.

    abstract::The role of the otolaryngologist in the diagnosis and management of cerebrospinal fluid rhinorrhea is discussed. One hundred eight cases of cerebrospinal rhinorrhea were studied with emphasis on cause, localization, and treatment. Extracranial approaches produce minimal morbidity and should be considered as possible t...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197512000-00015

    authors: Hudson WR,Hughes LA

    更新日期:1975-12-01 00:00:00

  • Multiple flap coverage for degloving hand injuries.

    abstract::A technic incorporating the simultaneous elevation of multiple adjacent thoracoabdominal pedicale flaps, based in opposite directions, has been successfully used on four patients with extensive degloving injuries of the hand. In all cases, the hand was later divided into individual digits. A five-year follow-up of thr...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197803000-00024

    authors: Cowen NJ,Giannotto RP

    更新日期:1978-03-01 00:00:00

  • Acute electrocardiographic changes after pneumonectomy.

    abstract:BACKGROUND:Postpneumonectomy electrocardiographic (ECG) changes have not been well-defined. METHODS:We reviewed the clinical data and the preoperative and postpneumonectomy ECGs of 15 patients who had pneumonectomy. RESULTS:All postpneumonectomy ECGs showed a higher heart rate and two (13%) showed diffuse ST elevatio...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Frye DM,Sahn AS

    更新日期:2000-10-01 00:00:00

  • Barrett's esophagus and active duodenal ulcer: an important clinical association.

    abstract::A retrospective review of five patients with Barrett's esophagus revealed three with an associated active duodenal ulcer. Two patients also had adrenocarcinoma of the esophagus. Any patient with prolonged gastroesophageal reflux should have careful radiologic and endoscopic evaluation of the entire upper gastrointesti...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198103000-00012

    authors: Gelzayd EA,Maas LC

    更新日期:1981-03-01 00:00:00

  • Ovarian vein thrombophlebitis diagnosed by computerized tomography.

    abstract::Ovarian vein thrombophlebitis is often misdiagnosed because of vague symptoms leading to unnecessary surgery, morbidity, and mortality. CT findings in such a case are very useful in making a definite diagnosis of ovarian vein thrombophlebitis. We consider CT the preferred method for evaluating pain in the right lower ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198911000-00022

    authors: Reddy SC,Reddy SC

    更新日期:1989-11-01 00:00:00

  • Echocardiography in infective endocarditis.

    abstract:BACKGROUND:Echocardiographic demonstration of valvular infection now ranks with positive blood cultures as one of the two major clinical criteria for diagnosis of infective endocarditis (IE), according to new, more accurate guidelines for diagnosis. Because early detection of IE and its complications is essential for d...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:

    authors: Kemp WE Jr,Citrin B,Byrd BF 3rd

    更新日期:1999-08-01 00:00:00

  • Southern Regional Trophoblastic Disease Center, 1972--1977.

    abstract::The experience of the Southern Regional Trophoblastic Disease Center includes 222 patients who were referred from January 1972 to October 1977. The initial tissue diagnosis was hydatidiform mole in 212 patients and choriocarcinoma in ten. There was spontaneous remission of 142 (69%) of the moles and one of the chorioc...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197811000-00006

    authors: Hatch KD,Shingleton HM,Austin JM Jr,Boots LR,Younger JB,Soong SJ

    更新日期:1978-11-01 00:00:00

  • Bilateral renal loss resulting from intravesical formalin instillation.

    abstract::A patient was referred for evaluation of obstructive uropathy after treatment with 10% formalin to control recurrent hemorrhagic radiation cystitis. Progressive bilateral ureteral, pelvic, and renal parenchymal destruction occurred despite ileal ureteral replacement. This complication of therapy reinforces the concept...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197809000-00029

    authors: Melman A,Lavelle K,Ludwig J

    更新日期:1978-09-01 00:00:00

  • Nontuberculous mycobacterial skin infection resembling lepromatous leprosy.

    abstract::A leg ulcer in a 52-year-old renal transplant patient yielded foamy histiocytes containing acid-fast bacilli subsequently identified as a Runyon group III Mycobacterium. Skin infection with these organisms is unusual, and the histologic appearance in this case suggested lepromatous leprosy. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198708000-00033

    authors: Love GL

    更新日期:1987-08-01 00:00:00

  • Hormones in the etiology and prevention of breast and endometrial cancer.

    abstract::Since the incidence of endometrial cancer among estrogen-treated women at Wilford Hall Air Force Medical Center was not increased as reported by others, a prospective study was begun in 1975. With this data base, the cases of breast and endometrial cancer in estrogen and oral contraceptive users were reviewed. The inc...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198412000-00009

    authors: Gambrell RD Jr

    更新日期:1984-12-01 00:00:00

  • Current concerns for blood donor well-being and health.

    abstract::In addition to assuring an adequate and safe blood supply, blood collection agencies are responsible for the well being of donors. Several aspects of the current blood donor experience may negatively impact donor health and require modification. Physicians need to be aware of health-related issues associated with bloo...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/SMJ.0b013e3181d3904f

    authors: Reiss RF,Kessler D

    更新日期:2010-04-01 00:00:00

  • Pneumococcal sepsis and meningitis in adults with sickle cell disease.

    abstract::Patients with sickle cell disease are predisposed to infection caused by Streptococcus pneumoniae. However, there has been only one published case of bacteremic pneumococcal meningitis in an adult with sickle cell anemia. We report here the cases of six adults with sickle cell disease, pneumococcal sepsis, and meningi...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199009000-00005

    authors: Olopoenia L,Frederick W,Greaves W,Adams R,Addo FE,Castro O

    更新日期:1990-09-01 00:00:00

  • Association Between Maternal-Perceived Psychological Stress and Fetal Telomere Length.

    abstract:OBJECTIVE:Our study aimed to investigate the association between maternal-perceived psychological stress and fetal telomere length. METHODS:We recruited women in labor upon hospital delivery admission. Based on responses to the Perceived Stress Scale, we categorized participants as having "high," "normal," or "low" pe...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.14423/SMJ.0000000000000567

    authors: Salihu HM,King LM,Nwoga C,Paothong A,Pradhan A,Marty PJ,Daas R,Whiteman VE

    更新日期:2016-12-01 00:00:00

  • Is It "In" to Wear Scrubs Out?

    abstract:OBJECTIVE:This study aimed to identify differences in perceptions between healthcare and non-healthcare personnel when it comes to wearing scrubs in non-healthcare settings. METHODS:An anonymous survey with 11 closed-ended questions sent via e-mail to healthcare students and employees at The University of Texas Health...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.14423/SMJ.0000000000000861

    authors: Bambekova PG,Buch CA,Mendonca C,Arar A,Mirahmadizadeh A,Seifi A

    更新日期:2018-09-01 00:00:00

  • CD8+ lymphocytic pneumonitis in a patient receiving cyproterone acetate.

    abstract::A large number of drugs can induce pulmonary disease. We report the case of a female patient who was receiving cyproterone acetate for severe hirsutism. After 4 months of cyproterone therapy, she had dyspnea, pulmonary infiltrates, and a restrictive ventilatory defect. Bronchoalveolar lavage showed CD8+ lymphocytosis ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199710000-00016

    authors: Similowski T,Orcel B,Derenne JP

    更新日期:1997-10-01 00:00:00

  • Clinical experience with a new casting tape.

    abstract::Between October 1977 and 1978, 93 CutterCast casts were applied at the Veterans Administration Hospital in Atlanta, Georgia. The composition and application of this new casting system are described, and the performance of the 93 casts is evaluated in relation to ease of application, roentgenographic clarity, skin cond...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198005000-00007

    authors: Fleming LL,Miller K,Sinback M

    更新日期:1980-05-01 00:00:00

  • Authors' Response.

    abstract::Supplemental digital content is available in the text. ...

    journal_title:Southern medical journal

    pub_type: 评论,杂志文章

    doi:10.14423/SMJ.0000000000000716

    authors: Bob-Manuel T,Askandar S,Khouzam RN

    更新日期:2017-11-01 00:00:00

  • Evaluation of extramural programs.

    abstract::Extramural programs may be evaluated in terms of effectiveness in achieving their particular goals. The components of structure, process, and outcome are examined as related sets of program elements. Goals influence appropriate structure in organization, facilities, and manpower. Structure in turn influences process o...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197906000-00027

    authors: Chappell JA,Hain JD

    更新日期:1979-06-01 00:00:00

  • A resurgence of acute rheumatic fever in a mid-South children's hospital.

    abstract::A resurgence of acute rheumatic fever (ARF) has been reported in many areas of the United States in recent years. We retrospectively reviewed the medical records of inpatients with a new diagnosis of ARF from 1982 through 1988 at a children's hospital that serves a six-state referral area in the mid-South. Thirty pati...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199012000-00012

    authors: Leggiadro RJ,Birnbaum SE,Chase NA,Myers LK

    更新日期:1990-12-01 00:00:00

  • Association of Renal Clearance with Cerebral White Matter Vascular Disease in Hospitalized Veterans With and Without Delirium.

    abstract:OBJECTIVES:To assess the relation between renal function and delirium and to assess and compare the relation between cerebral white matter lesion (WML) and renal function as estimated by three formulas for the estimated glomerular filtration rate (eGFR) in older adult hospitalized veterans with and without delirium. M...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.14423/SMJ.0000000000001132

    authors: Detweiler MB,Lutgens BW,Choudhury D,Kenneth A,Kalafat N,Sherigar RM,Bader G

    更新日期:2020-08-01 00:00:00

  • Use of Cardiac Troponin Testing in the Outpatient Setting.

    abstract:OBJECTIVES:Cardiac troponin (cTn) measurement is useful for diagnosing myocardial infarction (MI), particularly in the inpatient setting. A growing body of literature suggests that cTn may be useful for evaluating chronic conditions in the outpatient environment; however, little is known regarding cTn ordering patterns...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.14423/SMJ.0000000000000971

    authors: Ross SJ,Shah NH,Noutong Njapo SA,Cordiner DJ,Winchester DE

    更新日期:2019-05-01 00:00:00

  • Statin therapy in rheumatoid arthritis.

    abstract::Rheumatoid arthritis, a chronic inflammatory polyarthritis that destroys synovial joints, is associated with systemic as well as local inflammation and with an increased risk of cardiovascular disease and death not fully explained by traditional cardiac risk factors. Statins (HMG-coA reductase inhibitors), medications...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/01.smj.0000161755.22998.f7

    authors: Costenbader KH,Coblyn JS

    更新日期:2005-05-01 00:00:00

  • Long-term survival after autologous bone marrow transplantation for metastatic breast carcinoma.

    abstract::A phase II study of doxorubicin (Adriamycin)-based induction chemotherapy followed by cyclophosphamide/BCNU (CyBCNU) intensification and autologous bone marrow transplantation (ABMT) was conducted in 20 consecutive women with hormone-resistant metastatic breast cancer referred to our center. Of these 20 women, aged 24...

    journal_title:Southern medical journal

    pub_type: 临床试验,杂志文章

    doi:10.1097/00007611-199503000-00015

    authors: Saez RA,Slease RB,Selby GB,Strnad C,Epstein RB,Confer DL

    更新日期:1995-03-01 00:00:00

  • Treatment of patellar fractures by partial patellectomy.

    abstract::Results of treating 238 transverse, longitudinal, and osteochondral fractures of the patella are reviewed. Of these, 89 patients had partial patellectomy and extensor mechanism reconstruction. After an average follow-up of four years, functional results have been excellent; there have been no late patellectomies and t...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197707000-00014

    authors: Andrews JR,Hughston JC

    更新日期:1977-07-01 00:00:00

  • Loss of transferase enzyme activity of transfused erythrocytes in galactosemia.

    abstract::Rapid loss of erythrocyte galactose-1-phosphate uridyl transferase in hemolysates from an infant 26 days after transfusion led to investigation of the possiblity of an unstable enzyme or other variant of galactosemia. However, the child was found to have the classic type of galactosemia. The seeming transferase instab...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197503000-00010

    authors: Schwartz RP,Roesel RA,Blankenship PR,Hall WK

    更新日期:1975-03-01 00:00:00

  • Dilutional acidosis.

    abstract::Rapid, extreme expansion of the extracellular fluid with solutions devoid of acid or alkali theoretically can produce a metabolic acidosis, due to buffer dilution. This phenomenon has previously been demonstrated only in experimental animal studies. We have reported what we believe to be the first documented case of h...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199003000-00029

    authors: Goodkin DA,Raja RM,Saven A

    更新日期:1990-03-01 00:00:00

  • Laryngeal neoplasm mortality in Oklahoma: 1950-1970.

    abstract::A survey of death certificates of victims with laryngeal cancer in Oklahoma for the period 1950 to 1970 attempts to corroborate findings of the current literature. Sex-race specific death rates per 100,000 for white, nonwhite, and American Indian populaces displayed a distinct sex and racial pattern: respectively, 38....

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197607000-00033

    authors: Cuchiara AJ,Asal NR

    更新日期:1976-07-01 00:00:00

  • Training and evaluating teams of simulated patients.

    abstract::The purpose of this study was to train and evaluate teams of standardized (simulated) patients as part of a required course in family medicine for second-year medical students. During three hours of training, six women were trained to play the same person. These standardized teams played four roles during the 12-week ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198708090-00021

    authors: Nieman LZ,Thomas R

    更新日期:1987-09-01 00:00:00

  • The evaluation of fetal lung maturity by amniotic fluid analysis.

    abstract::The frequent necessity for termination of pregnancy before the spontaneous onset of labor requires that we be able to accurately predict fetal lung maturity. We have used amniotic fluid studies for evaluation of fetal lung maturity and have found that (1) a "fat" cell concentration of 30% or more, or (2) a creatinine ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197505000-00005

    authors: Wood GP

    更新日期:1975-05-01 00:00:00