Editor's Note Frailty was independently associated with postoperative morbidity in patients having common ambulatory general surgery procedures (ie, hernia, breast, thyroid, or parathyroid), this study finds. In this analysis of 140,828 patients in the American College of Surgeons National Surgical Quality Improvement Program, the relative risk of complications was increased…

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Editor's Note Dedicated OR teams for a colorectal Enhanced Recovery after Surgery (ERAS) program at Johns Hopkins Hospital led to anesthesia providers becoming more central to the ERAS network, which increased process measure compliance and improved clinical outcomes in this study. Before the dedicated OR teams were instituted, surgeons were…

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Effective use of a daily huddle and customized software for scheduling have had a dramatic impact on efficiency at NYU Langone Orthopedic Hospital in New York City. Cancellations on the day of surgery have dropped from a rate of about 10% prior to implementation of huddles to less than 1%,…

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Editor's Note In this study, implementing a global change in safety culture resulted in a significant change in surgical patient outcomes as measured by the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP). After implementation of initiatives targeting communication and patient safety, surgical outcomes and culture scores…

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Editor's Note The Centers for Medicare & Medicaid Services (CMS) has finalized an update to its coverage policy for implantable cardiac devices (ICDs), the February 16 Modern Healthcare reports. The update expedites patient access by eliminating the waiting period for patients with an existing ICD to obtain a replacement device…

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Editor's Note The Joint Commission on February 14 announced that accredited hospitals should start thinking about electronic clinical quality measure (eCQM) success stories to share in the 2018 Pioneers in Quality Proven Practices Collection. Proven Practices was launched last year and is a peer-to-peer sharing of specific practices that an…

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Editor's Note The Food & Drug Administration (FDA) on February 14 authorized marketing of the first blood test to help evaluate concussions in adults and reduce the need for CT scans. The Banyan Brain Trauma Indicator works by measuring levels of proteins (ie, UCH-L1 and GFAP) that are released from…

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Editor's Note Purposeful completion (fidelity) of, more than adherence to, items in the surgical safety checklist diminished intraoperative delays in this study. Of 591 cases analyzed, 110 (19%) had at least one documented intraoperative delay. The majority were related to missing (50%) or malfunctioning (30%) equipment. Degree of fidelity was…

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Editor's Note The Food & Drug Administration (FDA) on February 13 announced that it is permitting the marketing of clinical decision support software that alerts providers to potential strokes in their patients. The Viz.AI Contact application is designed to analyze computed tomography images of the brain and send a text…

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Editor's Note Implementation of an enhanced recovery pathway (ERP) for colorectal surgical patients substantially reduced length of stay, total hospital costs, and direct pharmacy costs without increasing complications or readmission rates in this study. The study, which included 160 colorectal patients before ERP was implemented and 146 patients after implementation,…

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