Editor's Note A new scoring system reveals a strong agreement between patient-reported and physician-reported outcomes after surgery, the Mayo Clinic reports. The study enrolled 100 patients who had elbow or shoulder surgery. The average time between surgery and follow-up was 31 months. In the categorical ratings, patients and physicians agreed…

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Editor's Note Patients whose surgeons had more coworker reports about unprofessional behavior in the 36 months before their surgical procedures had a significantly increased risk of complications, this study finds. In this analysis of 13,653 patients having surgical procedures performed by 202 surgeons in two academic medical centers, 1,583 (11.6%)…

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Editor's Note Physician-to-physician variation in electronic health record (EHR) documentation could result in patient harm and clinical inefficiencies, this study finds. The study by University of Michigan researchers included EHR data from 170,332 encounters led by 809 physicians in 237 practices and interviews with 40 physicians in 10 practices. The…

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Editor's Note Hospitals with low failure to rescue (FTR) rates had significantly more staffing resources than hospitals with high FTR rates, this study finds. In this analysis of 44,567 surgical patients in the Michigan Quality Surgical Collaborative, hospital FTR rates across low, middle and high tertiles were 8.9%, 16.5%, and…

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Editor's Note The majority of differences in outcomes between new and experiences surgeons are associated with the context in which care is delivered and patient complexity, rather than inexperience, this study finds. A total of 694,165 Medicare patients treated by 8,503 experienced surgeons were matched to 68,036 treated by 2,119…

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Editor's Note There is a substantial economic value for policy and organizational expenditures for physician burnout reduction programs, this study finds. A conservative base-case model estimates that about $4.6 billion in costs is attributable to physician burnout each year in the US because of physician turnover and reduced clinical hours.…

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Editor's Note The Centers for Medicare & Medicaid Services (CMS) Physician Compare website contains quality information on just 23.3% of the more than 1 million physicians who care for Medicare patients, this study finds. A total of 76.6% of physician had no performance data, and almost none (99.7%) listed on…

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Editor's Note Researchers have developed an online app that patients and surgeons can use to guide preoperative planning and provide predictive data for how a patient’s ventral hernia repair will turn out. The basis of the app is a tool named the “Outcomes Reporting App for CLinical and Patient Engagement”…

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Editor's Note Physician burnout has reached a critically high level, fueled by regulatory, compliance, and technology demands, but health system leaders at the Massachusetts General Hospital in Boston are working to address and relieve burnout and bring the joy back to the practice of medicine with centrally and locally designed…

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Editor's Note The Center’s for Medicare and Medicaid Services (CMS) is legally responsible for setting and updating the work element of its relative value units (RVUs), which form the Medicare Physician Fee Schedule used to determine physician payments. In practice, however, updating what is known as the “work RVU” is…

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