Editor's Note Patients whose surgeons had large numbers of patient complaints about rude and disrespectful behavior had a significantly increased risk of postoperative complications and being readmitted, this study finds. Of 32,125 patients included in the study, 3,501 (11%) had a postoperative complication (5.5% surgical, 7.5% medical). The adjusted rate…

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Editor's Note Implementation of Lean system redesigns was associated with a significant and sustained wait list reduction from 33.4 days to 12.0 days for patients waiting for elective general surgery procedures at a Veterans Affairs medical center, this study finds. The study covered FY 2012 to 2014. At the same…

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Like a football team gathering to confirm tactical details before a play, surgical staff often form a huddle to ensure readiness of the providers, patient, and equipment for the upcoming procedure. In a twist on the traditional huddle the day before surgery, staff at the Hospital of Central Connecticut (HOCC)…

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Editor's Note In this multi-state study examining the relationship between nurse-reported safety culture and the patient experience, researchers found that modifiable aspects of a hospital’s culture can influence the achievement of high HCAHPS scores in nursing and global domains, which directly impact hospital reimbursement. Three safety culture domains were related…

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Editor's Note Engaging colon cancer patients in a prehabilitation program 4 weeks before surgery modified exercise behaviors and improved physical function, which improved postoperative outcomes, finds this study. Researchers randomized 116 patients to either a prehabilitation program (57 patients) or a control group (59 patients). After 4 weeks, compared with…

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Editor's Note Chicacgo-area hospitals are using apps to help patients prepare for and recover from surgery and communicate their symptoms, the November 30 Chicago Tribune reports. Amita Health is now using the TapCloud app with good results−of 309 orthopedic patients who have used the app, none have had to be…

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Editor's Note Patients who have a laparoscopic appendectomy can go home the same day of surgery with similar outcomes to patients who spent a night in the hospital, this study finds. In this analysis of 12,703 patients, those who were discharged the same day of surgery had an overall readmission…

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This issue of OR Manager will be published around Thanksgiving, and we hope it won’t be overlooked in the wake of holiday preparations. Important information such as the upcoming Joint Commission survey changes, for example, should not be missed (cover story). Surveys were discussed during the 2016 OR Manager Conference.…

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Comprehensive surgical patient care models are associated with better outcomes, according to studies presented at Anesthesiology 2016 in October. In a study of 1,356 patients undergoing total knee, hip, or shoulder joint replacement surgery, pain management and communication between patients and physicians improved when care was based on the perioperative…

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Editor's Note On-pump and off-pump coronary artery bypass grafting (CABG) are equally safe and effective, this study finds. At 5 years there was no significant difference between on-pump and off-pump CABG in combined rates of death, stroke, myocardial infarction, renal failure, or subsequent revascularization procedures (23.6% vs 23.1%). There also…

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