BERKELEY, CA (UroToday.com) - Growing demands for patient safety, lower cost and quality of care have resulted in several initiatives of quality measurement across urological surgery. Although 
candidate indicators have been proposed in various procedures, the fi eld still lacks a valid quality framework. Better understanding of the interplay between patient selection, surgical expertise, preoperative-, intraoperative, postoperative processes and outcomes is needed. Consensus needs to be achieved in which validated structural, process and outcomes measures to employ, how this data should be collected, which agencies to share this data with and how to use this data to effect change in health policy. Compliance with quality framework needs to be continuously audited with its outcomes frequently benchmarked against international standards. Pursuit of quality improvement schemes require signifi cant investment and need to be weighed against current budgetary constraints...View or save the full text Mini Review as a .pdf file
Tim T. Wang, Kamran Ahmed, Mohammed Shamim Khan and Prokar Dasgupta
Medical Research Council (MRC) Centre for Transplantation, National Institute for Health Research (NIHR) Biomedical Research Centre, King’s Health Partners, King’s College London and Department of Urology, Guy’s Hospital, London, UK
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