Editor's Note This study found a marked decline from 1998 to 2013 in surgical (open and laparoscopic) common bile duct exploration (CBDE) for choledocholithiasis (ie, bile duct stones). At the same time, the rate of endoscopic retrograde cholangiopancreatography (ERCP) increased and is becoming the predominant treatment strategy. The percentage of…
Editor's Note Professionalism education improved surgical resident understanding, awareness, and practice of professionalism in a significant manner in this study. A year-long professionalism curriculum was developed at New York University School of Medicine, New York City, which focused on challenges such as: admitting mistakes effective communication with colleagues at all…
Editor's Note Implementation of a telephone postoperative clinic significantly improved utilization of surgeon and facility resources while maintaining patient outcomes, this study finds. Of 200 patients included in the study, 29 had in-person postoperative follow-up and 171 had telephone follow-up. There was no difference in rates of emergency department visits…
Editor's Note Applying a classification tool to identify process and cognitive errors leading to discrepancies between intraoperative frozen section diagnoses and final pathology reports, researchers found that the rate of discrepancies is small and the source of discrepancies varied between organ systems and specific organs. Of 1,042 frozen sections examined,…
Editor's Note Several technical and nontechnical skill sets of practicing surgeons were found to be in need of improvement, in this study, which provided support for implementing coaching programs for surgeons on an ongoing basis. A total of 32 surgeons (18 general, 14 gynecologists) from 6 hospitals were assessed; 9…
Editor's Note Medicare’s value-based purchasing (VBP) program revealed superior performance associated with physician owned surgical hospitals in this study. Researchers analyzed 3,089 hospitals that included physician-owned surgical, University HealthSystem Consortium, US News & World Report Honor Roll, Kaiser Permanente, and Accountable Care Organization hospitals. Estimated mean total performance scores were…
The interactive hybrid OR, which debuted at the annual OR Manager Conference in 2014, grows larger and more comprehensive each year. For 2016, representatives from more than 10 different companies will be on hand to answer questions, and product demonstrations will create a dynamic learning environment. The 2015 town hall…
Editor's Note The American College of Surgeons (ACS) on August 4 issued a Statement on Operating Room Attire for surgeons in and out of the OR. The statement provides detailed guidelines on wearing the skullcap in a way that ensures patient safety, facilitates enforcement of the standard on wearing scubs…
Editor's Note The high proportion of emergent surgical cases that require vascular repair demonstrates the importance of having vascular surgeons immediately available at the hospital, this study finds. Of 299 patients in 12 surgical subspecialties that were included in the study, there were indications for vascular surgery assistance in 156…
Editor's Note On July 27, PinnacleHealth (Harrisburg, Pennsylvania) announced the opening of its Surgery Optimization Clinic to support orthopedic patients at high risk for surgical complications. Other high-risk surgical patient service lines will be added by the end of the year. The aim of the program is to improve patient…