Tag: Quality

AI helps physicians identify cancer cells

Editor's Note Researchers at UT Southwestern Medical Center in Dallas have developed a new software tool that uses artificial intelligence (AI) to recognize cancer cells from digital pathology images, a December 9 UT Southwestern news release reports. The spatial distribution of different types of cells can reveal a cancer’s growth…

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By: Judy Mathias
December 11, 2019
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UC San Diego opens new Center for Fluorescence-Guided Surgery

Editor's Note The Center for Fluorescence-Guided Surgery at UC San Diego Health is the first in the country dedicated to delivering a new caliber of surgical accuracy that allows surgeons to identify cancerous or critical tissues with GPS-like precision by lighting them up, the December 5 UC San Diego Health…

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By: Judy Mathias
December 9, 2019
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Bariatric surgery improves the heart

Editor's Note Bariatric surgery provides more benefits for obese patients than weight loss; it also reverses subclinical heart dysfunction, finds this study presented December 5 at EuroEcho 2019, a scientific congress of the European Society of Cardiology in Vienna, Austria. The study included 38 obese patients who had bariatric surgery…

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By: Judy Mathias
December 5, 2019
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Association of duty hour reform with outcomes of patients treated by new surgeons

Editor's Note Duty hour reform had no significant effect on 30-day mortality achieved by new vs experienced surgeons, but there was an increase in resources needed for patient care after reform, this study finds. A total of 1,483,074 Medicare patients having general and orthopedic surgery were analyzed before and after…

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By: Judy Mathias
December 4, 2019
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Data-use practices linked to successful implementation of ERPs

Editor's Note In this study, the most important data-use practice associated with successful implementation of enhanced recovery pathways (ERPs) was data feedback to frontline providers of process and outcome measures. Of 140 hospitals analyzed, 52% reported previous ERP implementation, with wide variations in data-use practices. Feedback of process and outcome…

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By: Judy Mathias
December 2, 2019
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Hospital-based care coordination strategies linked to CMS star ratings

Editor's Note Care coordination strategies were found to be associated with high overall hospital quality star ratings from the Centers for Medicare & Medicaid Services (CMS) in this study. A total of 710 general acute care noncritical access hospitals that received star ratings and responded to the 2015 American Hospital…

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By: Judy Mathias
November 21, 2019
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Preop patient frailty, operative stress linked to postop mortality

Editor's Note Even minor surgical procedures are associated with high risks for mortality in patients who are frail, finds this study. In this retrospective analysis of 432,828 patients in the Veterans Administration Surgical Quality Improvement Program, frailty was associated with increased 30-, 90-, and 180-day mortality across all levels of…

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By: Judy Mathias
November 19, 2019
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Daily Tiered Huddles help prioritize and resolve OR problems

When you have a problem, are you empowered to solve it? What happens when staff encounter an obstacle? Cleveland Clinic’s Tiered Huddle process empowers all caregivers to see problems and tackle issues on their own or escalate them for assistance. The tiered huddles have energized teams to work across the…

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By: Judith M. Mathias, MA, RN
November 18, 2019
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Establishing quality standards for ERAS care elements

At Virginia Commonwealth University System (VCU Health) in Richmond, we are using quality standards to establish operational definitions for elements of Enhanced Recovery After Surgery (ERAS). This article describes what those standards are and how they are implemented. Previous articles in this series appeared in the October 2019 and November…

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By: OR Manager
November 18, 2019
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Joint Commission’s new Speak Up campaign focuses on patients’ rights

Editor's Note The Joint Commission on November 13 announced a new Speak Up campaign that focuses on the right of patients to be informed about and make decisions on their care. “Speak Up For Your Rights” offers free materials to download and give to patients and their families, including: An…

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By: Judy Mathias
November 14, 2019
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