Tag: Performance Improvement

Partners HealthCare renamed

Editor's Note Partners HealthCare, the largest healthcare system in Massachusetts has been renamed Mass General Brigham, the November 27 Boston Business Journal reports. The new name also comes with a new 5-year plan for the 12-hospital system. The Massachusetts General Hospital and Brigham and Women’s Hospital are the top two largest…

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By: Judy Mathias
December 9, 2019
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Association of postop MI with high mortality rates after vascular surgery

Editor's Note Despite high rates of patients discharged with cardioprotective medications, the long-term burden of postoperative myocardial infarction (MI) after major vascular surgery is substantial, with a high mortality rate in the following year, this study finds. Of 26,231 vascular surgery patients analyzed, factors linked to an increased risk of postoperative…

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By: Judy Mathias
December 9, 2019
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Bariatric surgery improves the heart

Editor's Note Bariatric surgery provides more benefits for obese patients than weight loss; it also reverses subclinical heart dysfunction, finds this study presented December 5 at EuroEcho 2019, a scientific congress of the European Society of Cardiology in Vienna, Austria. The study included 38 obese patients who had bariatric surgery…

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By: Judy Mathias
December 5, 2019
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Patient, personnel, induction factors that affect OR start times

Editor's Note Though patient and personnel factors affect the order of case induction, induction time is most dependent on patient factors, this study finds. Of 15,823 cases analyzed, predictors of later patient induction included add-on case, ASA class 3 or more, neuraxial anesthesia, and CRNA staffing. In 11,093 (70.1%) cases,…

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By: Judy Mathias
December 5, 2019
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Association of duty hour reform with outcomes of patients treated by new surgeons

Editor's Note Duty hour reform had no significant effect on 30-day mortality achieved by new vs experienced surgeons, but there was an increase in resources needed for patient care after reform, this study finds. A total of 1,483,074 Medicare patients having general and orthopedic surgery were analyzed before and after…

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By: Judy Mathias
December 4, 2019
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AI algorithms predict mortality after traumatic brain injury

Editor's Note Two artificial intelligence-based algorithms predicted the probability of a patient dying in the ICU within 30 days of traumatic brain injury with accuracies up to 81% and 84%, in this study from Finland. The first algorithm is based on objective monitor data, and the second one includes data…

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By: Judy Mathias
December 3, 2019
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Data-use practices linked to successful implementation of ERPs

Editor's Note In this study, the most important data-use practice associated with successful implementation of enhanced recovery pathways (ERPs) was data feedback to frontline providers of process and outcome measures. Of 140 hospitals analyzed, 52% reported previous ERP implementation, with wide variations in data-use practices. Feedback of process and outcome…

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By: Judy Mathias
December 2, 2019
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Hospital-based care coordination strategies linked to CMS star ratings

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…

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By: Judy Mathias
November 21, 2019
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Automated software app reduces perioperative controlled substance discrepancies

Editor's Note In this study, a software app that tracks perioperative controlled substance use and is integrated into the electronic health and pharmacy records and database systems was associated with a decrease in management errors. This analysis includes data on missing controlled substance medications, controlled substance kits, and witness return…

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By: Judy Mathias
November 21, 2019
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AI evaluation of ECGs predicts irregular heart rhythm, death risk

Editor's Note Artificial intelligence (AI) was able to predict which patients were likely to develop an irregular heart rhythm, even when physicians interpreted results as normal, and identified patients at increased risk of dying of any cause within 1 year, in this study presented November 16 at the American Heart…

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By: Judy Mathias
November 18, 2019
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