Procedure‐specific outcomes following gastrectomy for cancer compared by hospital volume and service capability

2021 ◽  
Author(s):  
Kevin Tian ◽  
Peter D. Baade ◽  
Joanne F. Aitken ◽  
Aaditya Narendra ◽  
B. Mark Smithers
Keyword(s):  
Hospital Volume ◽  
Service Capability

Bariatric Outcomes Tied to Surgeon and Hospital Volume

2008 ◽  
Vol 41 (11) ◽  
pp. 40
Author(s):  
ELIZABETH MECHCATIE
Keyword(s):  
Hospital Volume

Darmkrebs-OP: Auf die Erfahrung kommt es an

2020 ◽  
Vol 52 (04) ◽  
pp. 162-164
Author(s):  
Frank Lichert
Keyword(s):  
Rectal Cancer ◽  
Mortality Rate ◽  
Hospital Mortality ◽  
Hospital Volume ◽  
Rectum Resection

Diers J et al. Nationwide in-hospital mortality rate following rectum resection for rectal cancer according to annual hospital volume in Germany. BJS Open 2020; doi:10.1002/bjs5.50254

Using JAIN SLEE as an Interaction and Policy Manager for Enabler-based Services in Next Generation Networks

2010 ◽  
Vol 56 (2) ◽  
pp. 117-124 ◽  
Author(s):  
Mosiuoa Tsietsi ◽  
Alfredo Terzoli ◽  
George Wells
Keyword(s):  
Internal Structure ◽  
Next Generation Networks ◽  
Ip Multimedia Subsystem ◽  
Next Generation ◽  
Provision Of Services ◽  
Service Capability

Using JAIN SLEE as an Interaction and Policy Manager for Enabler-based Services in Next Generation Networks The IP Multimedia Subsystem is a telecommunications framework with a standard architecture for the provision of services. While the services themselves have not been standardised, standards do exist for basic technologies that can be re-used and aggregated in order to construct more complex services. These elements are called service capabilities by the 3GPP and service enablers by the OMA, both of which are reputable standards bodies in this area. In order to provide re-usability, there is a need to manage access to the service capabilities. Also, in order to build complex services, there is a further need to be able to manage and coordinate the interactions that occur between service capabilities. The 3GPP and the OMA have separately defined network entities that are responsible for handling aspects of these requirements, and are known as a service capability interaction manager (SCIM) and a policy enforcer respectively. However, the internal structure of the SCIM and the policy enforcer have not been standardised by the relevant bodies. In addition, as the SCIM and the policy enforcer have been defined through complementary yet separate processes, there is an opportunity to unify efforts from both bodies. This paper builds on work and standards defined by the bodies, and proposes the design of an interaction manager with features borrowed from both the SCIM and the policy enforcer. To help validate the design, we have identified a platform known as JAIN SLEE which we believe conforms to the model proposed, and we discuss how JAIN SLEE can be used to implement our ideas.

High-Volume Hospitals with High-Volume and Low-Volume Surgeons: Is There a “Field Effect” for Pancreaticoduodenectomy?

2016 ◽  
Vol 82 (5) ◽  
pp. 407-411 ◽  
Author(s):  
Thomas W. Wood ◽  
Sharona B. Ross ◽  
Ty A. Bowman ◽  
Amanda Smart ◽  
Carrie E. Ryan ◽  
...  
Keyword(s):  
Hospital Mortality ◽  
Field Effect ◽  
Hospital Volume ◽  
Patient Discharge ◽  
High Volume ◽  
Surgeon Volume ◽  
Hospital Charges ◽  
Leapfrog Group ◽  
Discharge Status ◽  
Low Volume

Since the Leapfrog Group established hospital volume criteria for pancreaticoduodenectomy (PD), the importance of surgeon volume versus hospital volume in obtaining superior outcomes has been debated. This study was undertaken to determine whether low-volume surgeons attain the same outcomes after PD as high-volume surgeons at high-volume hospitals. PDs undertaken from 2010 to 2012 were obtained from the Florida Agency for Health Care Administration. High-volume hospitals were identified. Surgeon volumes within were determined; postoperative length of stay (LOS), in-hospital mortality, discharge status, and hospital charges were examined relative to surgeon volume. Six high-volume hospitals were identified. Each hospital had at least one surgeon undertaking ≥ 12 PDs per year and at least one surgeon undertaking < 12 PDs per year. Within these six hospitals, there were 10 “high-volume” surgeons undertaking 714 PDs over the three-year period (average of 24 PDs per surgeon per year), and 33 “low-volume” surgeons undertaking 225 PDs over the three-year period (average of two PDs per surgeon per year). For all surgeons, the frequency with which surgeons undertook PD did not predict LOS, in-hospital mortality, discharge status, or hospital charges. At the six high-volume hospitals examined from 2010 to 2012, low-volume surgeons undertaking PD did not have different patient outcomes from their high-volume counterparts with respect to patient LOS, in-hospital mortality, patient discharge status, or hospital charges. Although the discussion of volume for complex operations has shifted toward surgeon volume, hospital volume must remain part of the discussion as there seems to be a hospital “field effect.”

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