Monitoring the performance of cardiac surgeons

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Abstract
In the past, simple methods have been used to examine the performance of surgeons by examining the cumulative in-hospital mortality of their patients, without regard to the severity of the cases involved. This paper describes an alternative approach which takes account of an individual cardiac surgeon's case-mix by explicitly incorporating the inherent risk faced by patients due to a combination of factors relating to their age and the degree of disease they have.

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