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Wiley InterScience | |||||||
  Dermatologic SurgeryVolume 30 Issue 12p1, Pages 1444 - 1453 Published Online: 13 Dec 2004 © 2010 American Society of Dermatologic Surgery
Abstract | References | Full Text: HTML, PDF (Size: 164K) | Related Articles | Citation Tracking  ORIGINAL ARTICLE Lower Adverse Event and Mortality Rates in Physician Offices Compared with Ambulatory Surgery Centers: A Reappraisal of Florida Adverse Event Data Copyright © 2004 by the American Society for Dermatologic Surgery, Inc. ARUN P. VENKAT, MD, MBA, BRETT COLDIRON, MD, FACP, RAJESH BALKRISHNAN, PHD, FABIAN CAMACHO, JOHN G. HANCOX, MD, ALAN B. FLEISCHER JR, MD, AND STEVEN R. FELDMAN, MD, PHD HAVE INDICATED NO SIGNIFICANT INTEREST WITH COMMERCIAL SUPPORTERS. ABSTRACTBackground. A recent study using Florida adverse event data found an increased risk of mortality in offices as opposed to ambulatory surgical centers. A major limitation of Florida adverse event data is the lack of uniform collection of the number of cases performed. Objective. The objective was to reassess the risk of mortality from physician office and ambulatory surgical center procedures using improved estimates of the numbers of cases performed in these settings. Methods. Adverse incident reports from March 2000 to March 2003 were obtained from the Florida Board of Medicine. We used data from the National Ambulatory Medical Care Survey and from the Medicare Current Beneficiary Survey to estimate the number of office procedures in Florida for both the general and the Medicare populations. The number of procedures performed and the number of deaths in ambulatory surgical centers was obtained from the Florida Agency of Healthcare Administration for the years 2000 through 2002. These data were used to calculate adverse event and mortality rates. Results. For physician offices, the adverse event rates and mortality rates calculated per 100,000 procedures from National Ambulatory Medical Care Survey data were 2.1 and 0.41, respectively, and 0.24 and 0.10 using Medicare Current Beneficiary Survey data. For ambulatory surgical centers, the mean adverse event rate was 4.4 and the mean mortality rate was 0.90. Discussion. Florida's adverse event data do not show higher adverse event rates in physician offices compared with ambulatory surgical centers. Incident reporting and public availability of incidents are important, as is standardization of reporting rules for both adverse events and number of procedures performed in different settings. | 
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