Tag: Performance Improvement

Identifying SSIs using electronic health record data

Editor's Note In this study, researchers developed an algorithm model that accurately identified surgical site infections (SSIs) using independent variables from electronic health record data and outcomes from the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP). Researchers fit 3 models to data from patients having surgery at the…

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By: Judy Mathias
October 31, 2018
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ACS NSQIP participation demonstrates sustained benefits in colorectal surgical outcomes

Editor's Note Most complications of colorectal resection steadily decreased and early hospital discharges increased over 10 years of participation in the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP), finds this study presented October 24 at the American College of Surgeons 2018 Clinical Congress in Boston. Of…

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By: Judy Mathias
October 25, 2018
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Multimodal pain control minimizes need for postop opioids after outpatient mastectomy

Editor's Note Mastectomy patients treated with a new long-acting pain medication were able to be discharged the same day of surgery with a reduced need for opioids in this study presented October 23 at the American College of Surgeons 2018 Clinical Congress in Boston. A total of 100 mastectomy patients…

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By: Judy Mathias
October 24, 2018
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AHRQ offers free webinars on implementing enhanced surgical recovery program

Editor's Note The Agency for Healthcare Research and Quality (AHRQ) announced October 23 that free informational webinars will start October 29 for hospitals interested in implementing the AHRQ Safety Program for Improving Surgical Care and Recovery for gynecology, colorectal, hip fracture, or joint replacement procedures. The Johns Hopkins Armstrong Institute…

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By: Judy Mathias
October 24, 2018
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Patients having major surgery without opioids have shorter LOS

Editor's Note A treatment protocol that sends patients home after colorectal surgery without any opioids, resulted in shorter hospital length of stay (LOS) in this study presented October 22 at the American College of Surgeons 2018 Clinical Congress in Boston. The Enhanced Recovery After Surgery protocol included: patient education about…

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By: Judy Mathias
October 23, 2018
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Poor access to trauma centers associated with higher prehopital mortality

Editor's Note States with poor access to trauma centers have more deaths before injured patients arrive at the hospital than states with better access, finds this study presented October 22 at the American College of Surgeons 2018 Clinical Congress in Boston. Overall, the largest percentage of trauma deaths occurred before…

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By: Judy Mathias
October 22, 2018
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Effect of physical activity on frailty, mortality

Editor's Note Physical activity may attenuate the risk of mortality associated with frailty in old age, this study finds. In this analysis of data on 3,896 adults aged 60 and older during a median of 14 years of follow-up, physical activity was associated with lower mortality in prefrail and frail…

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By: Judy Mathias
October 19, 2018
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APIC, CDC develop tools to help prevent HAIs

Editor's Note The Association for Professionals in Infection Control and Epidemiology (APIC) and Centers for Disease Control and Prevention (CDC) on October 18 announced the availability of free, downloadable Quick Observation Tools to help facilities prevent healthcare associated infections (HAIs). The Tools include 20 sets of quick assessment forms that…

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By: Judy Mathias
October 19, 2018
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Experts recommend new description for cognitive changes after anesthesia, surgery

Editor's Note A multidisciplinary panel of experts recommended changing the way clinicians and patients describe cognitive changes experienced after anesthesia and surgery, in this session presented October 16 at the Anesthesiology 2018 annual meeting in San Francisco. The experts recommended that a new umbrella term, “Perioperative Neurocognitive Disorder (PND),” be…

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By: Judy Mathias
October 18, 2018
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Surgeons to monitor hip, knee patients using Apple Watches

Editor's Note Zimmer Biomet and Apple Inc have begun a multiyear study that will allow surgeons to use Apple Watches to monitor activities, including heart rate, steps taken, and standing hours of up to 100,000 patients before and after hip and knee replacement surgery, the October 15 Reuters reports. Providers…

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By: Judy Mathias
October 18, 2018
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