Tag: Quality

Association between checklist performance and surgeon buy-in, surgical teamwork

Editor's Note Surgeon buy-in and surgical teamwork were crucial in prompting case-related conversations but not in completing surgical safety checklists, this study finds. Of 207 procedures observed by 10 South Carolina hospitals, few teams completed most or all surgical safety checklist items. All measures of teamwork and surgeon buy-in related…

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By: Judy Mathias
July 26, 2016
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Assessment tool reduces UTI rates across surgical, nonsurgical departments

Editor's Note A program for analyzing processes associated with catheter placement and removal for surgical patients decreased urinary tract infections (UTIs) for all hospitalized patients in this study presented at the 2016 American College of Surgeons National Surgical Quality Improvement Program Conference in San Diego. The STOP UTI quality assessment…

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By: Judy Mathias
July 21, 2016
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Incidence of advanced prostate cancer skyrockets

Editor's Note The number of new cases of men with metastatic prostate cancer in the US has increased 72% in the past decade, this study finds. The largest jump was in men aged 55 to 69 years (92% increase), the age group who benefits the most from prostate cancer screening…

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By: Judy Mathias
July 21, 2016
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Survey reveals challenges in implementing eCQMs

Editor's Note A survey by the Joint Commission, American Hospital Association, and Federation of American Hospitals, finds that Medicare's new Hospital Inpatient Quality Reporting program requirements for electronic clinical quality measures (eCQMs) are achievable, but organizations will need to address education, process, and technology hurdles to meet the deadline of…

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By: Judy Mathias
July 20, 2016
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Process improvements raise SPD standards and quality

When audits revealed areas of deficit in the sterile processing departments (SPDs) of the Memorial Hermann Health System in Houston, leaders pulled together a team to help implement a quality improvement plan. By analyzing and standardizing their processes, creating auditing tools, and educating staff, they significantly increased quality scores throughout…

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By: OR Manager
July 19, 2016
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Surgical comanagement by hospitalists improves outcomes

Editor's Note A surgical comanagement hospitalist program reduced complications, length of stay, 30-day readmissions, number of consultants, and cost of care in this study. There was no significant changed in patient satisfaction and the average savings was $2,642 to $4,303 per patient. This retrospective study by researchers from Stanford University…

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By: Judy Mathias
July 18, 2016
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Association between socioeconomic status and mortality in diabetics

Editor's Note In this study, researchers examined whether income, educational level, marital status, and country of birth were independently associated with all cause cardiovascular, diabetes-related, and cancer mortality in patients with type 2 diabetes. Results showed that independent of risk factors and access to/use of healthcare, socioeconomic status was a…

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By: Judy Mathias
June 29, 2016
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Effect of surgeons, anesthesiologists on OR time

Editor's Note Compared with type of procedure, differences between surgeons account for a small part of OR time variability, and the effect of differences between anesthesiologists is negligible, this study finds. Differences between surgeons accounted for 2.9% of variability in OR time, and differences between anesthesiologists accounted for 0.1%.  …

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By: Judy Mathias
June 20, 2016
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Study: Complexity of quality measures impeding adoption

Editor's Note Nearly three-quarters of physicians and health plan executives say quality measures are too complex, making it difficult for physicians to achieve them in a survey by Quest Diagnostics and Inovalon. Other findings include: 65% of physicians don’t have all the patient information they need 64% of physicians don’t…

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By: Judy Mathias
June 16, 2016
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Nursing work environments linked to value

Editor's Note Hospitals with better nursing work environments and above-average staffing levels were associated with better value (ie, lower mortality with similar costs), especially for higher risk patients, this study finds. The study included 25,752 elderly Medicare general surgery patients treated at 35 focal hospitals (mean nurse-to-bed ratio, 1.51) and…

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By: Judy Mathias
June 16, 2016
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