Editor's Note Introduction of the Perioperative Surgical Home (PSH) model for patients having ambulatory laparoscopic cholecystectomy at a Kaiser Permanente facility was associated with decreased length of stay and unplanned hospital admissions in this study. A total of 878 patients were included in the preimplementation period, and 1,082 in the…

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Editor's Note Enhanced recovery after surgery (ERAS) and fast track surgery protocols were associated with a significant reduction in postoperative lung, urinary tract, and surgical site infections, compared with conventional protocols in this study. ERAS and fast track protocols also were linked to a significant decrease in hospital length of…

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Editor's Note In this study, the composite outcomes of death, stroke, myocardial infarction, renal failure, or repeat revascularization at 5 year follow-up were similar for patients who had off-pump and on-pump coronary artery bypass grafting (CABG) procedures. The researchers also found no significant difference in cost or quality of life…

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Editor's Note In this multi-state study examining the relationship between nurse-reported safety culture and the patient experience, researchers found that modifiable aspects of a hospital’s culture can influence the achievement of high HCAHPS scores in nursing and global domains, which directly impact hospital reimbursement. Three safety culture domains were related…

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Editor's Note Overlapping surgical procedures are safe and provide the same outcomes for patients as non-overlapping procedures, this study finds. The analysis of 10,614 overlapping surgical procedures performed at the Mayo Clinic, Rochester, Minnesota, found no difference in the rates of postoperative complications or deaths within a month after surgery,…

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Editor's Note The Surgical Apgar Score (SAS) was found to be significantly predictive but weakly discriminative for major complications and death after emergency high-risk abdominal surgery in this study. The risk of major complications, death, and ICU admission increased significantly with decreasing SAS (P < .001). The score’s c-statistics were…

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Editor's Note Surgical residents who perceived negative effects of The Accreditation Council for Graduate Medical Education’s duty hour policies on patient safety were more likely to violate duty hour policies, this study finds. Of 4,554 residents in 184 programs analyzed: 25.3% felt the current duty hour policies negatively affected patient…

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Editor's Note Patients who were readmitted to a nonindex hospital after having emergency general surgery were significantly more likely to have had their index surgery at a large, teaching, safety-net hospital, this study from Brigham and Women’s Hospital, Boston, finds. Readmission to a nonindex hospital was independently associated with mortality…

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Editor's Note Patients who have a laparoscopic appendectomy can go home the same day of surgery with similar outcomes to patients who spent a night in the hospital, this study finds. In this analysis of 12,703 patients, those who were discharged the same day of surgery had an overall readmission…

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Editor's Note Total hip outcomes such as pain, function, range of motion, and strength are different for men and women, which could lead to gender-specific rehabilitation programs, finds this study presented November 9 at the 2016 ACR/ARHP [American College of Rheumatology/Association of Rheumatology Health Professionals] Annual Meeting. Researchers from the…

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