Specific care bundles successfully cut surgical site infection rates
Three new studies on reducing surgical site infections (SSIs) were reported at the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) conference in July. Researchers at three different institutions identified several process changes that, once implemented, brought down SSI rates. Each study used different methodology, but all…
Build a strong anesthesia quality program to boost patient safety and the bottom line
Quality indicators for anesthesia For the past several years, physicians have participated in the Physician Quality Reporting System (PQRS) established by Medicare as a way to assess the quality of patient care and tie that to reimbursement. Beginning in 2015, a negative payment adjustment hit individuals and group practices whose…
Study: ‘July phenomenon’ concerns unfounded
Editor's Note Referred to as the “July phenomenon,” the influx of new surgical residents and interns at the beginning of the academic year is assumed to be associated with poor outcomes. This study of nearly 1.5 million patients who had emergency general surgery either early (July-August) or late (September-June) in…
52 ACS NSQIP hospitals achieve meritorious outcomes
Editor's Note The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) has recognized 52 of 517 participating hospitals for achieving meritorious outcomes for surgical patient care in 2014. Recognized hospitals are deemed “meritorious” for their composite quality scores in eight surgical care outcome areas. Hospitals are required…
Healthcare organizations urge Congress to save AHRQ
Editor's Note Almost 200 healthcare organizations sent letters to Congress urging members to restore funding for the Agency for Healthcare Research and Quality (AHRQ). The House Appropriations Committee in June voted to eliminate the research agency, and the Senate Appropriations Committee proposed a 35% cut to AHRQ’s budget. The letters…
Effect of resident involvement in surgery
Editor's Note Resident involvement in surgery is associated with comparable patient morbidity and lower mortality outcomes than procedures without residents, this study finds. The analysis used data from the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP). The findings provide a reassuring answer to patients, attending surgeons,…
Using patient outcomes to assess surgical residency program performance
Editor's Note The 2014 Institute of Medicine report calls for restructuring of Medicare funding for graduate medical education to incorporate pay-for-performance methods. However, to evaluate and financially reward residency programs based on performance, performance must be defined and measurable. This study assesses general surgery residency program performance using outcomes, including…
Business managers: A small population with a big impact on quality and efficiency
The role of business manager continues to grow in teaching, but not community, hospitals, according to the 2015 OR Manager Salary/Career Survey. Fewer than a third (29%) of OR leaders report that their hospital has a business manager, and 70% of those managers work in teaching hospitals. Other highlights from…
Lean makes a clean sweep of the OR
Reducing room turnover time is a goal in many surgical services departments, and refining the cleaning process is one path to success. Implementing a Lean process improvement at our hospital helped us not only meet but exceed our targets for room cleanliness and cleaning time. A 73% average rate of…
Zones establish structure and routine for OR setup
Learning to circulate can be overwhelming and intimidating for new nurses. They may learn two or three different ways to set up a room, on two or three different days, from two or three different preceptors. Having a consistent, systematic way to set up an OR can help relieve the…
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