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Introduction Placing the needs of the patient above one's own needs has long been the call of duty badge worn by the physician. Indeed, emergent patient care needs trump immediate personal needs such as sleep, fatigue, hunger, and family commitments.…
Introduction Value in health care is equal to the quotient of quality over payment. In this context, quality includes outcomes, safety, and patient experiences while payment is the cost to all who pay for health care. Value in healthcare is…
Protocols and Guidelines As technology advances, the practice of medicine has been rapidly transforming from anecdotal, traditional techniques, and experience to sophisticated data-driven, evidence-based protocols. Significant variability exists in the practice of medicine, including neurosurgery where diseases with relatively low…
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Introduction Since its origin, neurosurgery, as a field, has relied on expert opinion. After all, its development and advancement have been intertwined with names such as Harvey Cushing. In pediatric neurosurgery, there are relatively low disease incidences compared to conditions…
Introduction The provision of high-quality, safe, affordable neurosurgical care is a goal sought after by the surgeon, patient, hospital, and insurers. Evaluation of hospital and individual neurosurgical performance has become more elaborate due to increased costs, rising patient expectations, demands…
Introduction A strategy for improving neurosurgical performance by improving education may comprise a broad spectrum of tactics. From a traditional educational standpoint, it can refer simply to improving the knowledge base of medical students, residents, and fellows. With regard to…
Introduction Computational Neurosurgery Outcomes Center Dr. Timothy R. Smith and Dr. William B. Gormley founded Computational Neurosurgery Outcomes Center (CNOC) at Brigham and Women's Hospital and Harvard Medical School in 2015. The purpose of this center is to centralize disparate…
Introduction Health care spending is a significant area of concern as the national health spending is projected to grow at an average rate of 5.6% each year from 2016 to 2025. In 2015, the National health expenditure accounted for 17.8%…
Introduction With recent changes in health care policy, patient health metrics and mortality rates are increasingly recognized as proxies for quality of care and determinants of hospital reimbursements. As a result, both medical and surgical specialties have begun to place…