Quality Improvement

Latest Issue of OR Manager
February 2018
Home Safety/Quality > Quality Improvement

Low-cost, high-volume services account for most of unnecessary healthcare spending

Editor's Note Low-cost, high-volume healthcare services account for a high percentage of unnecessary spending, adding strain to the healthcare system, this study finds. In this analysis of 5.5 million patients in Virginia, researchers found that services providing no net health benefits cost the state’s healthcare system more than $586 million…

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By: Judy Mathias
October 12, 2017
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Comparison of internal medicine, general surgery residents’ postop risk assessments

Editor's Note Risk assessments of postoperative complications and death in surgically complex patients were not significantly different between internal medicine and general surgery residents in this study. However, both groups overestimated the risks compared with the American College of Surgeons’ National Surgical Quality Improvement Project (ACS NSQIP) risk adjusted model.…

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By: Judy Mathias
October 12, 2017
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Two firms awarded grants to develop medical devices for children

Editor's Note The Philadelphia Pediatric Medical Device Consortium (PPMDC) has chosen two companies out of eight finalists to receive grants of $50,000 each to develop medical devices for children. The devices include a: speech generating system that allows hospitalized children who are unable to speak to communicate with clinicians handheld…

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By: Judy Mathias
October 12, 2017
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Data analytics tops list of challenges for healthcare execs in 2018

Editor's Note In a survey from the HealthCare Executive Group, clinical and data analytics was was the top of 10 challenges the healthcare industry will face in 2018, the October 9 Becker’s Health IT & CIO Review reports. Value-based payments was third, cybersecurity was sixth, and mobile health technology was…

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By: Judy Mathias
October 11, 2017
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Diffusion, implementation of acute care surgery across the US

Editor's Note Acute care surgery (ie, an organized system of trauma, general surgery, and critical care) implementation has occurred unevenly across the US, with rural communities and regions the slowest, this study finds. Of 1,690 hospitals surveyed, 272 had implemented acute care surgery by 2015−an increase from 34 in 2001…

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By: Judy Mathias
October 9, 2017
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Mode of transport to hospital linked to mortality in penetrating trauma patients

Editor's Note Private vehicle transport was associated with a significantly lower likelihood of death compared with ground emergency medical services (EMS) transport for patients with gunshot and stab wounds in this study. In this analysis of 103,029 patients in the National Trauma Data Bank, 87.6% were male, 47.9% were black,…

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By: Judy Mathias
September 21, 2017
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Gastric bypass found to be durable long term

Editor's Note This 12-year study showed long-term durability of weight loss and effective remission and prevention of type 2 diabetes, hypertension, and dyslipidemia after Roux-en-Y gastric bypass surgery. For the study, 1,156 severely obese patients were divided into three groups: 418 who sought and had Roux-en-Y gastric bypass (surgery group),…

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By: Judy Mathias
September 21, 2017
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Little change in physical activity after total joint surgery

Editor's Note Physical activity in total joint patients did not change at 6 months after surgery and small-moderate improvement was found at 12 months, despite large improvements in pain and quality of life, this meta-analysis finds. A total of seven studies (336 patients) were analyzed. Reasons for the lack of…

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By: Judy Mathias
September 20, 2017
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Editorial

Since July, when repeal and replacement of the Affordable Care Act (ACA) stalled, healthcare reform has been somewhat overshadowed by events such as natural disasters and concerns about national security. Now, with insurers due to announce rates for the coming year, Congress is working on a bill to stabilize the…

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By: Elizabeth Wood
September 20, 2017
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PACU patient flow improves with CRNA assistance

Throughput inefficiencies are a growing problem in surgical services departments. Patients are held in the OR because there is no room in the postanesthesia care unit (PACU), and patients are held in the PACU because there are no beds available in the patient care unit or because outpatients having major…

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By: Judith M. Mathias, MA, RN
September 20, 2017
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