Editor's Note Reductions in hospital length of stay (LOS) for surgical procedures between 2008 and 2014, were not linked to a greater use of postacute care facilities in this study. Researchers studied the relationship between decreased LOS and postacute care using summary measures from the US National Inpatient Sample with…

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Editor's Note Dedicated OR teams for a colorectal Enhanced Recovery after Surgery (ERAS) program at Johns Hopkins Hospital led to anesthesia providers becoming more central to the ERAS network, which increased process measure compliance and improved clinical outcomes in this study. Before the dedicated OR teams were instituted, surgeons were…

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Editor's Note Intermountain Healthcare’s (Salt Lake City, Utah) Partners in Healing program, which involves family members in in-patient care, helped reduce 30-day readmissions after cardiac surgery by 65%, the February 13 Healthcare Finance reports. The program enables family members to help with basic care, which in turn prepares them for…

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Editor's Note Implementation of an enhanced recovery pathway (ERP) for colorectal surgical patients substantially reduced length of stay, total hospital costs, and direct pharmacy costs without increasing complications or readmission rates in this study. The study, which included 160 colorectal patients before ERP was implemented and 146 patients after implementation,…

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Editor's Note A new smartphone app called “WoundCare” is successfully letting patients send images of their surgical wounds to nurses for monitoring, this study finds. The goal of the app, developed by researchers from the Wisconsin Institute of Surgical Outcomes Research, University of Wisconsin, Madison, is earlier detection of surgical…

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Concern about opioid abuse has reached epic proportions in recent months, and healthcare providers have come under increasing pressure to help mitigate the problem. Curbing the tendency to overprescribe pain medications is considered the first, most obvious step, but there are other actions that can also improve patient safety. Nurse…

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Editor's Note In this study, an interdisciplinary program that includes a coordinated approach by healthcare professionals in surgery, geriatrics, and anesthesiology was associated with improved postoperative outcomes for high-risk older patients having elective abdominal surgery. Compared with a control group (143 patients), older patients participating in the Perioperative Optimization of…

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Editor's Note The Hospital Readmissions Reduction Program (HRRP) decreased readmissions for targeted procedures, but no association was found for nontargeted procedures in this study. This analysis of 672,135 Medicare patients treated at 2,773 hospitals included 507,663 patients who had total knee or hip arthroplasty procedures (targeted) and 164, 472 who…

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  Editor's Note Making discharge instructions easier to read resulted in fewer phone calls from traumatic injury patients after discharge, finds this study presented October 25 at the American College of Surgeons Clinical Congress 2017 in San Diego. A total of 1,006 patients were included in the study, 493 in…

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Editor's Note Elderly hip fracture patients were less likely to die or return to the emergency department (ED) after discharge if they received care under the Perioperative Surgical Home (PSH) model of care, finds this study presented October 21 at the Anesthesiology 2017 annual meeting in Boston. PSH patients also…

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