Editor's Note A proposed law would require ASCs and hospitals to install surveillance cameras in their ORs. Whether they are a good idea or not depends on why they are there, according to an editorial in Outpatient Surgery Magazine. If they are intended to enhance performance and find out why…
Editor's Note When surgeons listen to their preferred music, they’re more efficient at closing incisions, and their technique improves, this study finds. Researchers asked 15 plastic surgery residents at the University of Texas to perform layered closures on pigs’ feet. Half the resident worked in a silent OR and half…
Editor's Note The AmericanCollege of Surgeons calls the usefulness of surgeon rating systems released last week by two public interest group websites questionable. The groups use differing methodologies (ie, years of Medicare data reviewed, procedures studied, and rating scales used) to determine their rankings, and a patient visiting both sites…
Editor's Note Urological procedures performed in children at non-high volume hospitals were associated with a higher overall rate of National Surgical Quality Improvement Program (NSQIP) identified postoperative complications, compared with high volume hospitals (11.6% vs 9.3%), in this study. After adjusting for confounding factors, patients at non-high volume hospitals were…
Editor's Note Ulcerative colitis patients who have surgery to treat their disease live longer than those who are treated with medications, this study finds. Analyzing Medicare/Medicaid data on nearly 33,000 patients with ulcerative colitis, mortality rates were 34/1,000 person-years for colectomy and 54/1,000 person-years for medical therapy, thus showing that…
New research shows that even a modest 10% reduction in the proportion of emergency surgical procedures for three common conditions could save nearly $1 billion over 10 years. The study also showed significantly lower rates of mortality and better outcomes among patients who had these procedures on an elective basis.…
Peak One Surgery Center in Frisco, Colorado, had a lucrative day this past October, when surgeons performed 14 procedures on local residents in the following specialties: orthopedics, general surgery, gynecology, pain management, and gastroenterology. Their pay? A mountain of gratitude. Helping at home Frisco, population 2,683, is located in…
OR Business Performance is a series intended to help OR managers and directors improve the success of their business. Does your hospital’s CEO expect you to grow surgical volume in the upcoming fiscal year? Hospitals have always depended on surgical services to drive revenue and profit. Today, in the…
More than 120 centers throughout the US have bloodless surgery programs to serve patients who refuse blood transfusions for religious and other reasons. The practice, which began more than 50 years ago, has evolved through research on blood conservation and new techniques to minimize the need for transfusions. The Joint…
One would think that reducing surgical complications would lower a hospital’s costs in addition to being the right thing to do. But the hospital’s bottom line can be seriously affected. The loss can be substantial unless new surgical volume is added to make up for the loss, a new analysis…