The American Journal of Surgery
Volume 198, Issue 5, Supplement , Pages S19-S27, November 2009

Design and statistical methodology of the National Surgical Quality Improvement Program: why is it what it is?

  • William G. Henderson, M.P.H., Ph.D.

      Affiliations

    • University of Colorado, Health Outcomes Program, Aurora, CO, USA
    • Corresponding Author InformationCorresponding author. Tel.: +1 303 724 1165; fax: +1 303 724 1839
  • ,
  • Jennifer Daley, M.D.

      Affiliations

    • Partners Community Healthcare, Inc., Boston, MA, USA

Received 2 June 2009

Abstract 

This article reviews the philosophy and principles of the National Surgical Quality Improvement Program (NSQIP) that the founders of the program had in mind when they developed the program; explains how the philosophy and principles led to the design and statistical methods that were chosen for the program; and reviews recently proposed changes to the program and potential problems that these changes may create.

Keywords: NSQIP, Surgical quality improvement, Department of Veteran Affairs, American College of Surgeons

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PII: S0002-9610(09)00463-2

doi:10.1016/j.amjsurg.2009.07.025

The American Journal of Surgery
Volume 198, Issue 5, Supplement , Pages S19-S27, November 2009