A care transition poses a danger point for patients—failing to “hand off” needed information from one clinician to another can lead to significant morbidity and mortality. The Joint Commission was so concerned about handoffs that in 2017 it issued a sentinel event alert on the topic. “Handoffs are a safety…
Editor's Note Care coordination strategies were found to be associated with high overall hospital quality star ratings from the Centers for Medicare & Medicaid Services (CMS) in this study. A total of 710 general acute care noncritical access hospitals that received star ratings and responded to the 2015 American Hospital…
When you have a problem, are you empowered to solve it? What happens when staff encounter an obstacle? Cleveland Clinic’s Tiered Huddle process empowers all caregivers to see problems and tackle issues on their own or escalate them for assistance. The tiered huddles have energized teams to work across the…
Editor's Note The Joint Commission on November 13 announced a new Speak Up campaign that focuses on the right of patients to be informed about and make decisions on their care. “Speak Up For Your Rights” offers free materials to download and give to patients and their families, including: An…
Editor's Note The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) Surgical Risk Calculator accurately predicted four quality-of-life outcomes that transcend traditional measures of successful surgery and now reflects the expected effects of surgery on an older patient’s ability to function independently, finds this study presented October…
Editor's Note Surgeons can better understand the effect of a patient's postoperative physical activity on their recovery by capturing passively-collected accelerometer data from their patients’ smartphones, finds this study presented October 28 at the American College of Surgeons Clinical Congress 2019 in San Francisco. Patients enrolled in the study downloaded…
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…
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…
Editor's Note In this study, machine learning algorithms accurately identified cancer patients who were at risk of 6-month mortality. Of 26,525 cancer patients analyzed, machine learning models based on structured electronic health record data accurately predicted short-term mortality risk with good discrimination and positive predictive value. When the gradient boosting…
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…