Clark R E
Allegheny General Hospital, Pittsburgh, PA 15212, USA.
Best Pract Benchmarking Healthc. 1996 Mar-Apr;1(2):62-9.
The purpose of this communication is to demonstrate the feasibility of a voluntary national cardiac surgical database.
The genesis of the Society of Thoracic Surgeons (STS) National Cardiac and General Thoracic Surgery Databases in the interval of 1986 to 1990 is described. The issues facing the Committee in the initial decision making processes are discussed choosing a society-based, in-house activity versus using an outside vendor, private practice needs versus academic ones; open versus closed membership and vendors, risk stratification; data quality; audit; and access to data.
In the 6 years of operation the STS cardiac surgical database has grown from 41,000 to 706,000 patients. The number of practice groups, hospitals, and surgeons has increased from 26 to 624, 32 to 750, and 120 to 1850, respectively. All but one state is represented, as are more than 400 teaching hospitals, including 28 Veterans Administration hospitals and 60 university centers.
The STS database system has become firmly established and is a model for other societies and associations. The data placed yearly in the public domain have become a national standard.
本交流的目的是证明建立一个全国性自愿心脏外科手术数据库的可行性。
描述了1986年至1990年间胸外科医师协会（STS）全国心脏和普通胸外科手术数据库的起源。讨论了委员会在初始决策过程中面临的问题，包括选择基于协会的内部活动还是使用外部供应商、私人执业需求与学术需求、开放会员制与封闭会员制及供应商、风险分层、数据质量、审计以及数据访问。
在运营的6年中，STS心脏外科手术数据库的患者数量从41,000例增加到706,000例。执业团队、医院和外科医生的数量分别从26个增加到624个、从32家增加到750家、从120名增加到1850名。除一个州外，其他所有州均有代表，400多家教学医院也参与其中，包括28家退伍军人管理局医院和60家大学中心。
STS数据库系统已稳固建立，是其他协会和组织的典范。每年公开的数据已成为国家标准。
