Heather A Prentice, Jessica E Harris, Kenneth Sucher, Brian H Fasig, Ronald A Navarro, Kanu M Okike, Gregory B Maletis, Kern H Guppy, Robert W Chang, Matthew P Kelly, Adrian D Hinman, Elizabeth W Paxton
BACKGROUND: Clinical quality registries (CQRs) are intended to enhance quality, safety, and cost reduction using real-world data for a self-improving health system. Starting in 2001, Kaiser Permanente established several medical device CQRs as a quality improvement initiative. This report examines the contributions of these CQRs on improvement in health outcomes, changes in clinical practice, and cost-effectiveness over the past 20 years. METHODS: Eight implant registries were instituted with standardized collection from the electronic health record and other institutional data sources of patient characteristics, medical comorbidities, implant attributes, procedure details, surgical techniques, and outcomes (including complications, revisions, reoperations, hospital readmissions, and other utilization measures)...
January 24, 2024: Joint Commission Journal on Quality and Patient Safety