Editor's Note In 2014, 58% of the 17.2 million hospital-based surgical procedures took place in outpatient settings, according to a report from the Agency for Healthcare Research and Quality (AHRQ). The report, which helps to quantify ongoing shifts to more outpatient surgical procedures, found that the most common outpatient procedures…

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Editor's Note Intraoperative adverse events are independently associated with increased postoperative mortality, morbidity, and prolonged length of stay (LOS), this study finds. Of 9,288 abdominal surgical procedures analyzed, 183 had intraoperative adverse events. Most consisted of bowel (44%) or vessel (29%) injuries, which were addressed intraoperatively (92%). Multivariate analysis showed…

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Editor's Note A research group from the Global Center for Medical Engineering and Informatics, Osaka University, has developed a self-donning and self-adjusting surgical gown called “Selfgown,” the May 16 EurekaAlert reports. The new gown comprises a special spring along the neckline instead of strings, and the inner belt is removed…

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Editor's Note A mandatory change from surgical skull caps to bouffant caps in the OR did not reduce surgical site infections (SSIs), this study finds. In this analysis of 15,000 class I (clean) surgical procedures performed 13 months before and 13 months after surgical skull caps were banned at a…

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Editor's Note Training surgeons in bleeding control techniques so they can, in turn, teach the general public is an effective way to disseminate bleeding control knowledge and skills, finds this study. Of 341 surgeons who were trained and surveyed at the 2016 American College of Surgeons (ACS) Congress, 93.79% agreed…

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Editor's Note The Agency for Healthcare Research and Quality (AHRQ) on May 3 announced the release of a new toolkit to help ambulatory surgery centers (ASCs) make care safer for their patients. The Toolkit to Improve Safety in Ambulatory Surgery Centers incorporates the core concepts of AHRQ’s Comprehensive Unit-based Safety…

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Editor's Note In this study, researchers developed a predictive model that can help identify patients at higher risk for prolonged postanesthesia care unit (PACU) stay after outpatient surgery. Data on 4,151 patients at the University of California, San Diego Healthcare Systems, from 2014 to 2015, was split into a training…

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Editor's Note The Accreditation Association for Ambulatory Health Care (AAAHC) on May 8 announced the release of its new Opioid Stewardship Toolkit to help providers review and assess the volume and length of opioid prescriptions and dosages to mitigate risk of patient overdose and death. AAAHC created the toolkit to…

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Editor's Note After emergency general surgery, frailty is associated with increased rates of mortality, discharge to an institution, and resource use, this Canadian study finds. Of 77,184 patients analyzed, 19,779 were frail. Death within 1 year of surgery occurred in 33.5% of frail patients, compared with 19.8% of nonfrail patients. Risk…

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Editor's Note Murmur software helps bridge communication gaps by sending information from an electronic health record, to a hospital's scheduling software, to a physician's cell phone if a patient is readmitted within 5 days, according to Medscape’s coverage of a study presented May 4 at the Society of Hospital Medicine’s…

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