Safety/Quality

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September 2024
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Data-driven surgical scheduling system improves efficiency

Editor's Note Compared to the historical mean (HM) scheduling approach, the data-driven regression modeling (RM) method improves multiple measures of operative suite efficiency and personnel satisfaction without adversely affecting clinical outcomes, this study finds. The HM approach included case duration of the most recent 4 years, and the RM system…

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By: Judy Mathias
November 14, 2019
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Analysis of OR efficiency in ASCs vs hospital outpatient departments

Editor's Note Ambulatory surgery center (ASC) outpatient procedures were more efficiently performed than those performed at a hospital outpatient department (HOP) in this study. Of 220 procedures included in the study (114 ASC, 106 HOP): mean turnover time was 29.8 minutes for HOP vs 24.5 for ASC ancillary time was…

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By: Judy Mathias
November 12, 2019
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Improving prediction of adverse surgical outcomes with machine learning algorithm

Editor's Note In this study, a new machine learning Complexity Score algorithm outperformed three commonly used risk scores in predicting postoperative morbidity, 30-day readmission, 90-day readmission, and postoperative surper-use. Study patients underwent colectomy, abdominal aortic aneurysm repair, coronary artery bypass grafting, total hip or knee replacement, or lung resection. The…

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By: Judy Mathias
November 6, 2019
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Use of medical scribes improves workflow of surgeons, residents in an outpatient setting

Editor's Note Incorporating medical scribes into surgical practices to reduce time surgeons spend on patient documentation and managing electronic health records increases the number of patients seen by surgeons and residents in outpatient clinics, finds this study presented October 29 at the American College of Surgeons Clinical Congress 2019 in…

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By: Judy Mathias
November 5, 2019
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Cholecystectomy tied to better outcomes when performed soon after admission

Editor's Note Delaying a cholecystectomy for acute cholecystitis more than 3 days after admission increased the rate of complications, hospital readmissions, and lengthened hospital stays, in this study presented October 30 at the American College of Surgeons Clinical Congress 2019 in San Francisco. Using 2012 to 2016 ACS National Surgical…

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By: Judy Mathias
November 4, 2019
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Postop opioid prescribing, use drop after state imposed regulations

Editor's Note A state-mandated policy restricting opioid prescriptions in Vermont greatly reduced opioid prescribing and use by surgical patients at the University of Vermont Medical Center without affecting patient satisfaction with their postoperative pain management, finds this study presented October 29 at the American College of Surgeons Clinical Congress 2019…

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By: Judy Mathias
October 31, 2019
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Joint Commission: Deadline approaching for submission of CY 2019 eCQM data

Editor's Note The Joint Commission on October 29 announced that the deadline for onboarding to the Direct Data Submission (DDS) Platform for submission of CY 2019 electronic clinical quality measures (eCQMs) is December 20. Organizations that submitted CY 2018 eCQMs through the DDS Platform do not need to be onboarded…

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By: Judy Mathias
October 31, 2019
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12-hour call shifts improve patient outcomes, lower costs

Editor's Note An acute-care surgery model that caps surgeon call shifts at 12 hours instead of 24 hours for covering surgical emergencies has led to shorter hospital stays, lower infection rates, and lower overall costs for patients with acute appendicitis, finds this study presented October 30 at the American College…

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By: Judy Mathias
October 31, 2019
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Mayo Clinic Care Network reduces hospital stays with ERPs

Editor's Note An Enhanced Recovery Pathway (ERP) created by the Mayo Clinic’s colorectal surgery service a decade ago has now been adopted by other surgical services in seven medical centers that are members of the Mayo Clinic Care Network, the October 15 Harvard Business Review reports. The ability of each…

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By: Judy Mathias
October 24, 2019
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Joint Commission launches new Dashboard Report for ASCs

Editor's Note The Joint Commission on October 23 announced that a new Dashboard Report is now available for accredited ambulatory surgery centers (ASCs). The report provides performance measurement data on select measures and is intended to facilitate conversations on data, performance measures, and quality improvement during the survey process. Using…

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By: Judy Mathias
October 24, 2019
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