主题：An Effective Risk-adjusted Monitoring Method for Surgical Quality Control with Application to Surgical Outcome Monitoring and Improvement Program (SOMIP) in Hong Kong
主讲人：香港中文大学 赖欣助理教授
主持人：西南财经大学经济数学学院 梁浩
时间：2015年9月18日（星期四）下午16:00-17:00
地点：通博楼B412
主办单位：经济数学学院 科研处
主讲人简介：
赖欣博士本科、硕士、博士均毕业于中国科技大学，同时取得了香港城市大学的博士学位。于2007年至2009年在香港城市大学做助理研究员。现在香港中文大学公共卫生与基础医疗学院生物统计系任助理教授
赖欣博士的研究兴趣主要是复杂医疗数据的统计方法，包括长期生存模型的研究、广义线性模型的应用、相依删失数据模型等。最近正与人合作一起研究设计同时适应于科研和应用的医疗效果评价系统。
内容简介：
Hospital Authority (HA) has launched a Surgical Outcome Monitoring and Improvement Program (SOMIP), which is used to audit the surgical performance of all public hospitals in Hong Kong. One of the most important information provided by the annual SOMIP report is the changes of 30-day mortality and identify whether and when there is a significant deterioration for each hospital. However, the routine monitoring method used such as Variable Life-adjusted Display (VLAD) and Cumulative Sum Charting (CUSUM) may not be able to detect the change of surgical performance efficiently. Expected improvement or deterioration in surgical outcome may not be exactly the same as the truth. In this paper, we develop a more effective risk-adjusted monitoring method to detect the change in surgical performance. By adapting this method to SOMIP, the proposed monitoring procedure is expected to not only benefit frontline surgeons, anaesthetists and intensivists when they decide on the operations for patients, but also help managers in HA to evaluate the surgical performance and further improve surgical quality.
