Editor's Note Patient level factors dominated the increased readmission risks after colorectal surgery at minority-serving hospitals, while hospital factors were less contributory, this study finds. Patient factors accounted for 65% of the increase in odds for readmission, and hospital-level factors accounted for 40%. Inpatient mortality was significantly greater at minority-serving…

Read More

Editor's Note The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) on October 28 recognized 60 of 603 participating hospitals for achieving meritorious outcomes in surgical patient care in 2015. The recognition program commends a select group of hospitals for achieving a meritorious composite score that is…

Read More

Editor's Note The Centers for Medicare and Medicaid Services (CMS) on October 21 announced the addition of Veterans Administration (VA) hospital performance data to Hospital Compare. The performance data include VA satisfaction survey results as well as outcomes, behavioral health, and patient safety measures. Additional VA hospital data will be…

Read More

Editor's Note Researchers from the University of Utah School of Medicine, Salt Lake City, have developed a risk prediction tool, called a “nomogram,” that uses a scoring system to determine a patient’s risk for returning to the surgical ICU within 72 hours after discharge. The study was presented October 20…

Read More

Editor's Note Denver Health was awarded a nearly $232,000 federal grant to expand its text messaging program, the October 13 Denver Post reports. The system will use the grant to link text messages directly to patients’ electronic health records so physicians can see patients’ texts on their medical charts. Denver…

Read More

Performance improvement teams (PITs) have helped many businesses resolve workflow or other obstacles impeding efficiency. For perioperative services, PITs consist of a multidisciplinary group of frontline personnel associated with a defined process. PITs often have a key facilitator and are sponsored by leadership. Missions and goals are created, progress is…

Read More

Editor's Note Surgical ICU patients who were assigned to an early mobilization program were discharged sooner from the ICU and the hospital and needed less help after discharge, compared with those who had standard care, this study finds. The analysis included 104 patients assigned to early mobilization and 96 who…

Read More

Editor's Note In this study, nonhierarchical modeling to measure hospital performance frequently misclassified average-quality hospitals as low quality, and hierarchical modeling misclassified low-quality hospitals as average. At low hospital case volumes, hierarchical modeling missed 90.6% of low-quality hospitals, and nonhierarchical modeling missed 65.3%. However, 38.9% of hospitals classified as low-quality…

Read More

Editor's Note The Joint Commission on September 27 announced that it has deleted 51 Elements of Performance (EPs) from its hospital accreditation standards, effective January 2017. Reasons for deletion include: Similar to, implicit in, or duplicative of other EPs. Address issues that have been covered by standards for many years…

Read More

Editor's Note Surgeon buy-in and OR teamwork characterized by shared clinical leadership, open communication, active coordination, and mutual respect related positively to case-related conversation prompts, but not to completing procedural checks, this study finds. A total of 207 procedures in 10 South Carolina hospitals were included in the study. The…

Read More