Quality improvement in cardiovascular surgery: results of a surgical quality improvement programme using a nationwide clinical database and database-driven site visits in Japan.
Hiroyuki YamamotoHiroaki MiyataKazuo TanemotoYoshikatsu SaikiHitoshi YokoyamaEriko FukuchiNoboru MotomuraYuichi UedaShinichi TakamotoPublished in: BMJ quality & safety (2019)
Combining traditional site visits with modern database methodologies effectively improved surgical mortality in Japan. These universal methods could be applied via a similar approach to contribute to achieving QI in surgery for many other procedures worldwide.