As part of the shift to value-based care, a logical step for healthcare organizations is to adopt enhanced recovery after surgery (ERAS) protocols. The literature supporting the use of ERAS is growing, with many studies demonstrating that it leads to shorter length of stay (LOS) and fewer complications. Results of…

Read More

Editor's Note A home-based preoperative training program decreased hospital length of stay (LOS), reduced costs, and was well accepted by patients, this study finds. Elements of the Michigan Surgical Home and Optimization Program include improving the patient’s diet, reducing stress, breathing exercises, smoking cessation, and an emphasis on light physical…

Read More

Editor's Note Implementation of a frailty screening initiative was associated with reduced mortality in this study. After implementing the initiative in 9,153 surgical patients, overall 30-day mortality for all patients, frail and nonfrail, decreased from 1.6% to 0.7%. Postoperative mortality decreased significantly in frail patients at 30 (12.2% to 3.8%),…

Read More

Lexington Medical Center in West Columbia, South Carolina, has had an annual average 3% growth in surgical volume since 2011 and is planning to add six ORs over the next 3 years. That’s a good position to be in. However, the ability of the organization to support continued surgical growth…

Read More

Editor's Note Opioid use before major abdominal surgery was independently associated with increased postoperative healthcare utilization and morbidity in this study. Of 2,413 patients analyzed, 502 used opioids preoperatively. After covariate adjustment, opioid users, compared with non-opioid users had: higher costs ($26,604 vs $24,263) longer lengths of stay (5.9 vs…

Read More

Editor's Note To help surgical patients recover faster, Rush University Medical Center in Chicago has started providing them with a computer app that prompts, monitors, and encourages activities that promote healing. The app, called “SeamlessMD,” can be downloaded to a patient’s smartphone, tablet, or computer and is part of Rush’s…

Read More

Editor's Note Healthcare managers’ top priority needs to focus on work environment design to improve preoperative throughput and OR first-case on time starts, this study finds. Two main barriers were identified−lack of equipment and availability of equipment in the preoperative area. Four vital sign monitors with wheels were purchased, as were…

Read More

Editor's Note More adults are getting screening tests for colorectal cancer but not for breast or cervical cancers, according to new data from the Centers Disease Control and Prevention (CDC). From 2000 to 2015, the rate of colorectal cancer screening increased from 33% to 62% in men and from 35%…

Read More

Cancellation of surgical cases, especially prescheduled elective surgeries, is a pervasive problem that reduces OR utilization and hospital revenue. The estimated direct and indirect annual cost of such cancellations across the US is approximately $39 billion per year, with an average OR cost between $20 and $65 per minute. Facilities…

Read More

Editor's Note Implementation of Lean system redesigns was associated with a significant and sustained wait list reduction from 33.4 days to 12.0 days for patients waiting for elective general surgery procedures at a Veterans Affairs medical center, this study finds. The study covered FY 2012 to 2014. At the same…

Read More