Tag: Performance Improvement

Editorial

Artificial intelligence (AI) seems to pop up in headlines nearly every day. With applications ranging from individual nutritional guidance to prediction of premature death, ever-evolving computer-based algorithms present intriguing possibilities for the future of healthcare. Depending on how proactive your facility is and how rich in resources, you may already…

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By: Elizabeth Wood
April 22, 2019
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Expect the unexpected: How we recovered operations after Hurricane Harvey

Whatever your facility’s disaster management plan, it needs continual refinement to account for the differences between imagined and real scenarios. Hurricane Harvey, which hit Houston hard on Saturday, August 26, 2017, is a case in point. The storm brought more than 60 inches of rain within a couple of days,…

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By: Elizabeth Wood
April 22, 2019
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New technology and workflow lead to surgical volume growth

Sarasota Memorial Health Care System (SMH) in Sarasota, Florida, is a Level 2 trauma center with 839 beds and more than 900 physicians. The 430 members of the surgical staff perform more than 24,300 inpatient and outpatient surgical procedures in the 34 operating suites each year. With this level of…

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By: OR Manager
April 22, 2019
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Operative volume is essential quality indicator for performing emergent general surgery in elderly

Editor's Note In this study, survival rates for geriatric patients were significantly improved when emergency general surgery procedures were performed at hospitals with higher operative volumes. Of 41,860 surgical procedures evaluated at 200 hospitals, mortality decreased as hospital emergency operative volume increased. For every standardized increase in volume, reduction in…

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By: Judy Mathias
April 18, 2019
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AI detects prostate cancer as well as experienced radiologists

Editor's Note A new artificial intelligence (AI) system developed by researchers at the UCLA David Geffen School of Medicine improved the ability to diagnose prostate cancer in this study. The system, called “FocalNet,” helps identify and predict the aggressiveness of the disease by evaluating MRI scans. Results showed that FocalNet…

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By: Judy Mathias
April 17, 2019
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New care pathway reduces delirium, readmissions for frail elderly trauma patients

Editor's Note A new interdisciplinary care protocol for frail elderly trauma patients significantly decreased delirium and 30-day readmission risk in this study. Researchers at Brigham and Women’s Hospital, Boston, compared the care of 125 patients who were treated before the pathway was implemented with 144 patients after the pathway was…

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By: Judy Mathias
April 11, 2019
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Using machine learning for preop prediction of postop mortality, ICU admission

Editor's Note Machine learning can be used to improve surgical risk prediction compared to traditional risk calculators, this study from Singapore finds. The traditional Combined Assessment of Risk Encountered in Surgery and the American Society of Anesthesiologists Physical Status models were compared with machine learning models in the prediction of…

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By: Judy Mathias
April 11, 2019
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Hospital safety culture linked to surgical patient outcomes

Editor's Note A hospital’s safety culture may influence certain surgical patient outcomes, finds this study. A Safety Attitudes Questionnaire (SAQ), sent to administrators, quality improvement teams, nurses, anesthesiologists, and surgeons in 49 hospitals participating in the Illinois Surgical Quality Improvement Collaborative, found that OR safety culture had the highest scores…

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By: Judy Mathias
April 3, 2019
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FDA issues statement on review framework for AI-based devices

Editor's Note The Food & Drug Administration (FDA) on April 2 issued a statement announcing steps toward a new, tailored review framework for artificial intelligence (AI)-based medical devices. AI and machine learning have the potential to transform the delivery of healthcare, with earlier disease detection, more accurate diagnoses, more targeted…

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By: Judy Mathias
April 3, 2019
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Factors linked to, lessons learned from reduced mortality during military conflicts

Editor's Note The increased use of tourniquets, blood transfusions, and reduced time to surgical treatment (ie, within 1 hour) were the main factors that reduced mortality 44.2% during military conflicts in Afghanistan and Iraq, this study finds. From October 2001 through December 2017, survival increase three-fold among the most critically…

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By: Judy Mathias
April 1, 2019
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