You need to have independent data collectors who do not have any vested interests in a given institution...Strict guidelines for assessing hospital charts for chronic obstructive pulmonary disease, peripheral vascular disease, etc |
More data is always better. Often, data collected preoperatively at referral need to be continuously updated throughout the stay to ensure that it is properly coded |
Long-term outcomes are important |
There is no score for diffuseness of [coronary] disease, this is very hard to objectively score, yet likely an important predictor of outcome |
Despite benefits described in the literature about advances such as point-of-care blood testing or continuous dialysis, present monitoring has not given any ammunition to obtain these products |
Add valve surgery and other complex procedures |