Editor's Note Frailty posed a higher risk of mortality in younger coronary artery bypass graft (CABG) patients than older patients, this Canadian study finds. In this analysis of 40,083 patients who underwent CABG surgery between 2008 and 2015, researchers found that frailty was associated with poor early and long-term postoperative…

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Value-based payment (VBP) models of patient care have not been shown to effectively reduce healthcare costs, according to a recent report from the Healthcare Financial Management Association (HFMA). But that conclusion comes with several caveats, such as: • It’s too soon to have data on programs like the Medicare Shared…

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Editor's Note Preventability of readmissions changes with time, this study finds. Readmissions within the first week after discharge were more likely to be preventable by hospital-based interventions, whereas later readmissions were less likely to be preventable and more amenable to ambulatory and home-based interventions. This analysis of 822 patients readmitted…

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Editor's Note Surgeon-reported complications in morbidity and mortality (M&M) conferences and the Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators (PSIs) are complementary approaches for identifying adverse events and informing quality improvement efforts, this study finds. Of 6,563 surgical hospitalizations analyzed, 647 (9.9%) had at least one complication…

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Editor's Note The US News & World Report on June 26 announced the 2018-2019 Best Children’s Hospitals rankings. Ten hospitals earned a place on the Honor Roll, which awards hospitals that deliver exceptionally high quality care across multiple specialties: Boston Children’s Hospital Cincinnati Children’s Hospital Medical Center Children’s Hospital of…

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Editor's Note Malnourished hospitalized surgical and medical patients who participated in a nutrition quality improvement (QI) program had improved readmission rates and length of stay (LOS), but surgical patients had a significantly greater reduction in readmissions than medical patients, in this study. Of 1,269 patients analyzed, 288 were surgical patients…

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Editor's Note Robot-assisted and open cystectomies are equally effective in treating bladder cancer, this 7-year study finds. Conducted at 17 institutions, 350 patients with bladder cancer were randomized to the open (175 patients) or the robot-assisted (175 patients) surgical approach. The researchers found lower blood loss and transfusion rates and…

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Editor's Note This retrospective study of patients undergoing bariatric surgery found that hospitals with the largest reductions in serious postoperative complications had the greatest decrease in Medicare payments. Researchers ranked 562 hospitals (37,329 patients) into quintiles. The top 20% of hospitals had a decrease in average serious complication rate of…

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Editor's Note The Centers for Medicare & Medicaid Services (CMS) announced on June 12 that it would postpone the planned July update to its overall Hospital Quality Star Ratings. CMS says the delay will allow time for more analysis of the effects of changes made to some of the measures…

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Editor's Note In this study, the use of radial-artery grafts for coronary artery bypass grafting (CABG) resulted in a lower rate of cardiac adverse events and a higher rate of patency at 5 years than saphenous-vein grafts. A total of 1,036 patients (534 radial artery, 502 saphenous vein) from six…

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