Editor's Note A safe and efficient postoperative telemedicine program is feasible using a commonly used electronic health record system (Epic), and it can improve patient satisfaction, optimize throughput, and increase revenue, this pilot study finds. After researchers constructed an eClinic platform in Epic, they enrolled 233 patients having laparoscopic cholecystectomy,…

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Editor's Note A blood management program at Johns Hopkins using a hemoglobin transfusion threshold of 7 g/dl in orthopedic surgical patients reduced blood use by 32.5% and resulted in similar or improved outcomes. Improved outcomes were primarily in patients 65 years of age or older. For this study, researchers evaluated…

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Editor's Note Hospitals participating in Medicare’s Comprehensive Care for Joint Replacement model or its Bundled Payments for Care Improvement initiative for lower extremity joint replacement episodes report reducing skilled nursing facility (SNF) use and improving care coordination, in this survey. Interviews of executives or administrators in each of 22 hospitals…

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Editor's Note In this study, implementation of Lean interventions to redesign the workflow in the preoperative holding area of a large urban medical center was linked to significantly improved rates of elective first case on-time starts. Data from 23,891 surgical procedures performed over 415 days were examined−86 days before, 35…

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Editor's Note A new enhanced recovery after surgery (ERAS) pathway has been developed and implemented at the University of Alabama at Birmingham to enhance recovery after cesarean delivery. Updated guidelines for the ERAS pathway include: Intake of water and clear sports drinks before surgery to keep mother hydrated. Walking after…

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Editor's Note This study finds that irregularly shaped OR surfaces may require enhanced covering, cleaning, and monitoring protocols, compared to more regularly shaped surfaces. Researchers coupled ATP assays with traditional RODAC plate sampling and mass spectrometry to evaluate cleaning of five types of high-touch surfaces in the OR.  Whether surfaces…

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Editor's Note The Joint Commission on July 31 announced a new performance measure, “PC-06 Unexpected Complications in Term Newborns,” effective January 1, 2019. The new measure will be added to the five measures already required for accredited hospitals with at least 300 live births per year. PC-06 requires hospitals to…

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Editor's Note After implementing two presurgery checklists from the American College of Surgeons Strong for Surgery (S4S) program, most diabetic patients met blood sugar control recommendations, and many patients quit smoking before surgery. Use of the checklists along with an Enhanced Recovery After Surgery (ERAS) approach resulted in decreased length…

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Editor's Note In high-risk hip fracture patients, an Enhanced Recovery After Surgery (ERAS) program lowers mortality rates, reduces hospital stays, and results in fewer complications, finds this study presented July 23 at the American College of Surgeons 2018 Quality and Safety Conference in Orlando, Florida. Results showed that ERAS: cut…

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Editor's Note During a 5-year quality improvement project, an academic medical center’s bariatric surgery program lowered its rates of postoperative complications and readmissions, surgical site infections (SSIs) and urinary tract infections (UTIs), and bleeding despite doubling its surgical volume, finds this study presented July 23 at the American College of…

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