Journal of Bone and Joint Surgery · 2018 · 28 citations · 27 references
MedicineOrthopaedic SurgeryOrthopedic SurgeryHealthcare Quality ImprovementOrthopedicsPerioperative Quality ImprovementComplications Of ArthroplastyContinuous Quality ImprovementHealth Care QualityHip ArthroplastyQuality Assurance In HealthcareQuality Of CareBlood Transfusion ReductionOutcome-based Quality ImprovementQuality Improvement In SurgeryQuality Of Care EvaluationRegistry-based Care ImprovementRegistry-based Quality ImprovementRevision Knee ArthroplastyRevision Risk
The Michigan Arthroplasty Registry Collaborative Quality Initiative (MARCQI) is a regional quality improvement effort that is focused on hip and knee arthroplasty. From its inception in 2012, MARCQI has grown to include data from 66 hospitals and surgery centers, and contains over 209,000 fully abstracted cases in its database. Using high-quality risk-standardized outcomes data, MARCQI drives quality improvement through a collaborative and nonpunitive structure. Quality improvement initiatives have included transfusion reduction, infection prevention, venous thromboembolism reduction, and reduction of discharge to nursing homes. In addition, MARCQI focuses on postmarket surveillance of implants by computing revision-risk estimates based on the cases that were registered prior to the end of 2016. This paper describes the impact of MARCQI on the quality of hip and knee arthroplasty care in the state of Michigan since its inception in 2012, and it briefly summarizes the recently released 5-year report.
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David Cella, William T. Riley, Arthur A. Stone et al. · Journal of Clinical Epidemiology · 2010 · 5.1K citations · Full text
Pharmacy, Health Services Administration, Health Assessment +15
Forest plots: trying to see the wood and the trees
Steff Lewis · BMJ · 2001 · 756 citations · Full text