Excess Surgical Mortality: Strategies for Improving Quality of Care

Authors: Tom Weiser, Atul Gawande

Introduction:
The World Health Organization (WHO) has estimated that 234 million operations are performed worldwide each year (Weiser and others 2008). The WHO’s analysis establishes three significant findings:
 
• Surgical interventions take place on a massive and previously unrecognized scale in all countries and resource settings.
• The inequity in service provision among countries and settings is dramatic.
• Little is known about the indications for, and the quality, safety, and outcomes of, surgical care.