Clinical quality assessment of coronary artery bypass graft surgery

Objective: Clinical quality (CQ) describes the technical quality of healthcare services and explains how healthcare system affect patient outcomes.This study aims to assess CQ on the patient scale by using structure, process, and outcome measures in the context of coronary artery bypass graft (CABG) surgery.Methods: Network Data Envelopment Analysis NDEA) was used to assess the CQ levels of patients undergoing CABG.The structure, process, and outcome quality measures of CABG surgery which include clinical factors of the patient as well as the medical procedures, costs, inpatient days, and quality of life, are examined simultaneously.These variables are used to assess CQ and to determine the quality improvement points.Results: According to the results of NDEA three patients had the highest level of CQ.Detailed profiles were generated for CABG surgery and for patients with low-clinical quality levels.This research highlighted areas for quality improvement to maximize resource utilization and clinical efficiency.