The national clinical database as an initiative for quality improvement in Japan

Korean Journal of Thoracic and Cardiovascular Surgery

Volumn 47, Issue 5, 2014, Pages 437-443

  Murakami, Arata ^a   Hirata, Yasutaka ^b   Motomura, Noboru ^c   Miyata, Hiroaki ^b   Iwanaka, Tadashi ^b   Takamoto, Shinichi ^d  

^a Gunma Children's Medical Center   (Japan)

^b UNIVERSITY OF TOKYO   (Japan)

^c TOHO UNIVERSITY SAKURA MEDICAL CENTER   (Japan)

^d MITSUI MEMORIAL HOSPITAL   (Japan)

Author keywords

Clinical database; Medical board; Medical expenditure; Patient safety; Quality improvement

Indexed keywords

EID: 84908545808     PISSN: 2233601X     EISSN: 20936516     Source Type: Journal    
DOI: 10.5090/kjtcs.2014.47.5.437     Document Type: Review

References (21)

1. Grover FL, Shroyer AL, Hammermeister K, et al. A decade's experience with quality improvement in cardiac surgery using the Veterans Affairs and Society of Thoracic Surgeons national databases. Ann Surg 2001;234:464-72.
2. Ferris TG, Torchiana DF. Public release of clinical outcomes data: online CABG report cards. N Engl J Med 2010;363:1593-5.
3. Jenkins KJ, Gauvreau K, Newburger JW, Spray TL, Moller JH, Iezzoni LI. Consensus-based method for risk adjustment for surgery for congenital heart disease. J Thorac Cardiovasc Surg 2002;123:110-8.
4. Shahian DM, Edwards FH, Jacobs JP, et al. Public reporting of cardiac surgery performance: part 1--history, rationale, consequences. Ann Thorac Surg 2011;92(3 Suppl):S2-11.
5. Shahian DM, Edwards FH, Jacobs JP, et al. Public reporting of cardiac surgery performance: part 2--implementation. Ann Thorac Surg 2011;92(3 Suppl):S12-23.
6. Mavroudis C, Jacobs JP. Congenital Heart Surgery Nomenclature and Database Project: overview and minimum dataset. Ann Thorac Surg 2000 Apr;69(4 Suppl):S2-17.
7. Jacobs JP, Jacobs ML, Lacour-Gayet FG, et al. Stratification of complexity improves the utility and accuracy of outcomes analysis in a Multi-Institutional Congenital Heart Surgery Database: Application of the Risk Adjustment in Congenital Heart Surgery (RACHS-1) and Aristotle Systems in the Society of Thoracic Surgeons (STS) Congenital Heart Surgery Database. Pediatr Cardiol 2009;30:1117-30.
8. Motomura N, Miyata H, Tsukihara H, Okada M, Takamoto S; Japan Cardiovascular Surgery Database Organization. First report on 30-day and operative mortality in risk model of isolated coronary artery bypass grafting in Japan. Ann Thorac Surg 2008;86:1866-72.
9. Motomura N, Miyata H, Tsukihara H, Takamoto S; Japan Cardiovascular Surgery Database Organization. Risk model of valve surgery in Japan using the Japan Adult Cardiovascular Surgery Database. J Heart Valve Dis 2010;19:684-91.
10. Motomura N, Miyata H, Tsukihara H, Takamoto S; Japan Cardiovascular Surgery Database Organization. Risk model of thoracic aortic surgery in 4707 cases from a nationwide single-race population through a web-based data entry system: the first report of 30-day and 30-day operative outcome risk models for thoracic aortic surgery. Circulation 2008;118(14 Suppl):S153-9.
11. Miyata H, Murakami A. The first report on risk models based on the Japan Congenital Cardiovascular Surgery Database. J Thorac Cardiovasc Surg 2014 Jan 15 [In press].
12. Roques F, Nashef SA, Michel P; EuroSCORE study group. Risk factors for early mortality after valve surgery in Europe in the 1990s: lessons from the EuroSCORE pilot program. J Heart Valve Dis 2001;10:572-7.
13. Miyata H, Motomura N, Kondo MJ, Fushimi K, Ishikawa KB, Takamoto S. Toward quality improvement of cardiovascular surgery in Japan: an estimation of regionalization effects from a nationwide survey. Health Policy 2009;91:246-51.
14. Miyata H, Motomura N, Ueda Y, Tsukihara H, Tabayashi K, Takamoto S. Toward quality improvement of thoracic aortic surgery: estimating volume-outcome effect from nationwide survey. Eur J Cardiothorac Surg 2009;36:517-21.
15. Tomotaki A, Miyata H, Hashimoto H, Murakami A, Ono M. Results of data verification of the Japan congenital cardiovascular database, 2008 to 2009. World J Pediatr Congenit Heart Surg 2014;5:47-53.
16. Miyata H, Gotoh M, Hashimoto H, et al. Challenges and prospects of a clinical database linked to the board certification system. Surg Today 2014 May 23 [Epub].
17. Kenjo A, Miyata H, Gotoh M, et al. Risk stratification of 7,732 hepatectomy cases in 2011 from the National Clinical Database for Japan. J Am Coll Surg 2014;218:412-22.
18. Kobayashi H, Miyata H, Gotoh M, et al. Risk model for right hemicolectomy based on 19,070 Japanese patients in the National Clinical Database. J Gastroenterol 2014;49:1047-55.
19. Roland M. Linking physician's pay to the quality of care -a major experiment in the United Kingdom. N Engl J Med 2004;351:1448-54.
20. Reinertsen JL. Zen and the art of physician autonomy maintenance. Ann Intern Med 2003;138:992-5.
21. Donabedian A. Evaluating the quality of medical care. Milbank Mem Fund Q 1966;44:Suppl:166-206.