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27| Volume 50, SUPPLEMENT 1, S11, June 2012

Complications following head and neck free flap surgery: do we need a standardized classification?

      Introduction: The assessment of surgical quality is an essential tool in the improvement of patient care and the most commonly used marker of quality in surgery is the incidence of post operative complications.
      • Chassin M.R.
      • Loeb J.M.
      • Schmaltz S.P.
      • Wachter R.M.
      Accountability measures—using measurement to promote quality improvement.
      Clavien et al. define a complication as “any deviation from the ideal postoperative course that is not inherent in the procedure and does not comprise a failure to cure.”
      • Clavien P.A.
      • Sanabria J.R.
      • Strasberg S.M.
      Proposed classification of complications of surgery with examples of utility in cholecystectomy.
      Reporting these requires precision, consistency and reproducibility, factors that can be guaranteed only through standard systems of classification.
      • Martin II., R.C.
      • Brennan M.F.
      • Jaques D.P.
      Quality of complication reporting in the surgical literature.
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      References

        • Chassin M.R.
        • Loeb J.M.
        • Schmaltz S.P.
        • Wachter R.M.
        Accountability measures—using measurement to promote quality improvement.
        N Engl J Med. 2010; 363: 683-688
        • Clavien P.A.
        • Sanabria J.R.
        • Strasberg S.M.
        Proposed classification of complications of surgery with examples of utility in cholecystectomy.
        Surgery. 1992; 111: 518-526
        • Martin II., R.C.
        • Brennan M.F.
        • Jaques D.P.
        Quality of complication reporting in the surgical literature.
        Ann Surg. 2002; 235: 803-813