What does death within 30 days of surgery measure?

This graph shows Texas Children’s Hospital’s mortality (death) rate within 30 days after surgery based on data entered into a national registry of surgical cases. This is called the “predicted observed rate” because not all surgeries are entered into the database, only a random sampling. Random sampling is a technique where individuals from a select group for study are chosen to completely by chance so that everyone from the group has an equal chance of being included.

The green bar is the expected mortality rate, based on national data for patients with similar characteristics as the patients at Texas Children’s Hospital.The lower the predicted observed rate is compared to the expected rate, the better Texas Children’s Hospital is doing.


Why is it important?

Participating in a national registry of surgical cases allows us to improve the quality and safety of care provided to our patients.

What can you do as a parent or caregiver?  

If your child needs surgery, consider the following helpful tips for finding the best surgeon:

  • Do your homework to understand the disease and/or surgery and ask your child’s doctor or a member of the healthcare team to explain it to you more in depth.
  • Get the facts by requesting specific data related to the outcomes of the surgery.
  • Ask for advice from other patients and family members who have had a similar surgery.
  • Ask for a second opinion – Be wary of any surgeon or hospital that discourages you from asking for a second opinion.
  • Feel empowered – Find a healthcare team that you believe will provide you the best medical care for your child and allow you to be a part of the process. Texas Children’s Hospital greatly values and practices family-centered care. The ultimate goal of patient-and family-centered care is to create partnerships among health care that will lead to the best outcomes and enhance the quality and safety of care.

Learn more about NSQIP


Texas Children’s Hospital is a Level I Children’s Surgery Center

The American College of Surgeons (ACS) has verified Texas Children’s as a Level 1 Children’s Surgery Center. This means that Texas Children’s is able to provide surgery and anesthesia (medicines that induce deep sleep so that patients do not feel pain during surgery) for all major pediatric specialties for children of all ages – from premature infants to adolescents. Only hospitals that have the highest level Neonatal Intensive Care Units (NICUs), pediatric emergency medicine physicians and pediatric radiologists available all day, every day, along with highly robust data collection, outcomes assessment and quality improvement efforts, can be verified as a Level 1 Children’s Surgery Center.

Texas Children’s was one of the first two children’s hospitals to receive a Level I verification from ACS. These verification standards have been created by ACS to improve surgical care for children and are supported by the American Pediatric Surgical Association and the Society of Pediatric Anesthesia. They are the nation’s first and only multispecialty standards for children’s surgical care. For more information on what it takes to become a Level I Children’s Surgery Center, visit the ACS website.