Perform Improv Advis. 2005 Jun;9(6):67-9, 61.
In the late 1980s, Congress passed a law requiring all Veterans' Administration hospitals to report surgical outcomes annually on a risk-adjusted basis and compare them to national averages in the private sector. However, those national averages did not exist. Fifteen years later, efforts to remedy that oversight have led to the creation of the National Surgical Quality Improvement Program and dramatic successes in both patient care and cost management.
20世纪80年代末，国会通过了一项法律，要求所有退伍军人管理局医院每年报告经风险调整后的手术结果，并与私营部门的全国平均水平进行比较。然而，当时并不存在这些全国平均水平的数据。15年后，为弥补这一疏漏所做的努力促成了国家手术质量改进计划的创建，并在患者护理和成本管理方面取得了巨大成功。
