M Laurin Council1, Murad Alam2, Hugh M Gloster3, Jeremy S Bordeaux4, Bryan T Carroll5, Justin J Leitenberger6, Oliver J Wisco7, Ian A Maher8. 1. Division of Dermatology, Department of Internal Medicine, Washington University in St Louis, St Louis, Missouri. Electronic address: mlaurincouncil@gmail.com. 2. Department of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, Illinois. 3. Department of Dermatology, University of Cincinnati College of Medicine, Cincinnati, Ohio. 4. Department of Dermatology, Case Western Reserve University School of Medicine, Cleveland, Ohio. 5. Department of Dermatology, Eastern Virginia Medical School, Norfolk, Virginia. 6. Department of Dermatology, Oregon Health and Science University, Portland, Oregon. 7. Bend Memorial Clinic, Bend, Oregon. 8. Department of Dermatology, St Louis University School of Medicine, St Louis, Missouri.
Abstract
BACKGROUND: In recent years, increasing emphasis has been placed on value-based health care delivery. Dermatology must develop performance measures to judge the quality of services provided. The implementation of a national complication registry is one such method of tracking surgical outcomes and monitoring the safety of the specialty. OBJECTIVE: The purpose of this study was to define critical outcome measures to be included in the complications registry of the American College of Mohs Surgery (ACMS). METHODS: A Delphi process was used to reach consensus on the complications to be recorded. RESULTS: Four major and one minor complications were selected: death, bleeding requiring additional intervention, functional loss attributable to surgery, hospitalization for an operative complication, and surgical site infection. LIMITATIONS: This article addresses only one aspect of registry development: identifying and defining surgical complications. CONCLUSION: The ACMS Registry aims to gather data to monitor the safety and value of dermatologic surgery. Determining and defining the outcomes to be included in the registry is an important foundation toward this endeavor.
BACKGROUND: In recent years, increasing emphasis has been placed on value-based health care delivery. Dermatology must develop performance measures to judge the quality of services provided. The implementation of a national complication registry is one such method of tracking surgical outcomes and monitoring the safety of the specialty. OBJECTIVE: The purpose of this study was to define critical outcome measures to be included in the complications registry of the American College of Mohs Surgery (ACMS). METHODS: A Delphi process was used to reach consensus on the complications to be recorded. RESULTS: Four major and one minor complications were selected: death, bleeding requiring additional intervention, functional loss attributable to surgery, hospitalization for an operative complication, and surgical site infection. LIMITATIONS: This article addresses only one aspect of registry development: identifying and defining surgical complications. CONCLUSION: The ACMS Registry aims to gather data to monitor the safety and value of dermatologic surgery. Determining and defining the outcomes to be included in the registry is an important foundation toward this endeavor.
Authors: Anthony M Rossi; Joseph Sobanko; Naomi Lawrence; Jeremy Bordeaux; Todd Cartee; Eric S Armbrecht; Anit Behera; Christian L Baum; Murad Alam; Ian A Maher Journal: Dermatol Surg Date: 2019-07 Impact factor: 3.398
Authors: Murad Alam; Joel L Cohen; Brian Petersen; Daniel I Schlessinger; Alexandra Weil; Sanjana Iyengar; Emily Poon Journal: JAMA Dermatol Date: 2017-08-01 Impact factor: 10.282
Authors: Todd V Cartee; Murad Alam; Eric S Armbrecht; Anit Behera; Naomi Lawrence; Jeremy S Bordeaux; Christian L Baum; Anthony Rossi; Ian A Maher Journal: Dermatol Surg Date: 2019-02 Impact factor: 3.398
Authors: Allen G Strickler; Payal Shah; Shirin Bajaj; Richard Mizuguchi; Rajiv I Nijhawan; Mercy Odueyungbo; Anthony Rossi; Désirée Ratner Journal: J Am Acad Dermatol Date: 2021-01-23 Impact factor: 15.487