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Towards standardized measurement of adverse events in spine surgery: conceptual model and pilot evaluation

Sohail K Mirza123*, Richard A Deyo1245, Patrick J Heagerty16, Judith A Turner7, Lorri A Lee8 and Robert Goodkin3

Author Affiliations

1 Center for Cost and Outcomes Research, University of Washington, Seattle, Washington, USA

2 Department of Orthopedics and Sports Medicine, University of Washington, Seattle, Washington, USA

3 Department of Neurological Surgery, University of Washington, Seattle, Washington, USA

4 Department of Medicine, University of Washington, Seattle, Washington, USA

5 Department of Health Services, University of Washington, Seattle, Washington, USA

6 Department of Biostatistics, University of Washington, Seattle, Washington, USA

7 Department of Psychiatry and Behavioral Sciences and Department of Rehabilitation Medicine, University of Washington, Seattle, Washington, USA

8 Department of Anesthesiology, University of Washington, Seattle, Washington, USA

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BMC Musculoskeletal Disorders 2006, 7:53  doi:10.1186/1471-2474-7-53

Published: 20 June 2006

Additional files

Additional File 1:

An Appendix is provided as an additional file in Microsoft® Office Word 2003 format. It contains operational definitions established a priori for adverse occurrence surveillance in this study. Definitions for occurrences related to escalation of care and airway management (ec00 to mazz) are adapted from Posner et al (Posner KL, Freund PR. Trends in quality of anesthesia care associated with changing staffing patterns, productivity, and concurrency of case supervision in a teaching hospital. Anesthesiology 1999;91(3):839-47). Medical occurrences (mc00 to muzz) are adapted from Reilly et al (Reilly DF, McNeely MJ, Doerner D, et al. Self-reported exercise tolerance and the risk of serious perioperative complications. Arch Intern Med 1999;159(18):2185-92) with additional details obtained from Harrison's textbook of Medicine (Fauci AS, Braunwald E, Isselbacher KJ, et al., eds. Harrison's Principles of Internal Medicine 14th Edition. Philadelphia: McGraw-Hill; 1998). Remaining definitions were developed by the study team with reference to the published literature when available. Additional information, such as itemized criteria for ascertainment and related published references, are available from our study team.

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