===== Surgical Quality =====

**Surgical quality** refers to the consistent delivery of safe, effective, and evidence-based care throughout the perioperative process. It encompasses technical performance, decision-making, complication prevention, and postoperative outcomes.

Monitoring surgical quality requires measurable indicators such as:
  * **Complication rates**
  * **Procedure success rates**
  * **Operative time**
  * **Infection or reintervention rates**
  * **Patient-reported outcomes**

==== Role of CUSUM in Quality Monitoring ====

CUSUM analysis enhances surgical quality assessment by:
  * Providing **real-time performance feedback**.
  * Identifying **deviations from expected standards**.
  * Supporting **root cause analysis** when outcomes deteriorate.
  * Enabling **data-driven credentialing** and quality assurance.

It complements traditional metrics by focusing on **individual performance over time**, rather than aggregated outcomes alone.

==== Institutional Impact ====

When integrated across a department or institution, CUSUM can:
  * Promote a culture of **continuous improvement**.
  * Detect systemic issues before they escalate.
  * Objectively monitor **training effectiveness**.
  * Support hospital accreditation and external audit processes.

Ultimately, surgical quality is not only about reducing complications, but about creating a reliable and transparent system that fosters learning, safety, and patient trust.