Quality

Latest Issue of OR Manager
October 2017

New national surgical safety program begins with colorectal surgery

Editor's Note Researchers have released a surgical technical evidence review for colorectal surgery (published online August 7 in the Journal of the American College of Surgeons) as the first step in the Agency for Healthcare Research and Quality’s Safety Program for Improving Surgical Care and Recovery, a nationwide program to…

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By: Judy Mathias
August 9, 2017
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Mayo Clinic tops US News Honor Roll of Best Hospitals

Editor's Note The Mayo Clinic, Rochester, Minnesota, was ranked the nation’s top hospital by US News & World Report in its 2017-2018 Honor Roll of Best Hospitals. The Honor Roll consists of 20 hospitals with the highest combined overall scores in 16 medical-surgical specialties. Cleveland Clinic was second, Johns Hopkins…

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By: Judy Mathias
August 9, 2017
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ACS releases new surgical quality, safety manual

Editor's Note The American College of Surgeons (ACS) on August 7 announced the release of a new manual, “Optimal Resources for Surgical Quality and Safety,” to help guide surgeons in leading quality improvement and patient safety efforts in their organizations. The collaborative publication from 135 contributing authors and two surgeon…

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By: Judy Mathias
August 8, 2017
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Colorectal ERAS improves outcomes, reduces costs

Editor's Note An Enhanced Recovery after Surgery (ERAS) program for colorectal surgery patients shortened hospital length of stay by more than half, reduced complications by more than one-third, and cut costs by some $11,000 per procedure, finds a study presented July 23 at the American College of Surgeons 2017 Quality…

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By: Judy Mathias
July 31, 2017
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Distinguishing risk factors for SSIs after pancreatic surgery

Editor's Note Reporting of surgical site infections (SSIs) after pancreatic surgery should distinguish between superficial and organ-space infections, which will require different preventative strategies, this study finds. Results showed that risk factors for superficial and organ-space SSIs after pancreatic surgery differed. Preoperative biliary stenting was an independent risk factor for superficial…

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By: Judy Mathias
July 13, 2017
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From the Front Lines – The Power of the Regulatory and Quality Measure Reporting Update

Ambulatory Surgery Center (ASC) Track: In the rapidly evolving ambulatory surgery center (ASC) landscape, ambulatory surgery perioperative leaders are best equipped to thrive amidst the changing market with their knowledge of the latest regulatory mandates. The Ambulatory Surgery Center Association (ASCA) remains on the front lines of the changes coming…

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Orthopedic PSH a prime model for value-based care—Part 1

Uncertainties pepper the healthcare landscape, but the shift to value-based care is expected to continue, even though momentum may slow under the current administration. That means perioperative services leaders must continue to explore new care delivery options such as the perioperative surgical home (sidebar, p 17). “The demand for value…

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By: Cynthia Saver, MS, RN
July 13, 2017
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Outcomes, costs associated with appendectomy in safety-net hospitals

Editor's Note Safety-net hospitals treat a disproportionate number of patients with advanced appendicitis and use laparoscopy less often, but their rates of morbidity and costs are similar to other hospitals, this study finds. In this analysis of 349 nonfederally funded hospitals in California performing 274,405 appendectomies, safety-net (compared with non-safety-net)…

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By: Judy Mathias
July 10, 2017
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New guidelines published on enhanced recovery after colon, rectal surgery

Editor's Note The American Society of Colon and Rectal Surgeons and the Society of American Gastrointestinal Endoscopic Surgeons have jointly published new clinical practice guidelines on enhanced recovery after colon and rectal surgery. The enhanced recovery protocol is multidisciplinary, including physicians, nurses, physical therapists, and dietitians and involves all aspects of care…

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By: Judy Mathias
July 10, 2017
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Influence of nurse leaders on professional practice environment

Editor's Note Nurse leaders are integral in enhancing professional practice environments, and their influence links structures necessary for an environment that supports outcomes, this study finds. In this analysis of 30 nurse leaders and 169 clinical nurses at a 247-bed acute care Magnet hospital, leaders perceived their influence from “often”…

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By: Judy Mathias
July 6, 2017
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Development of quality indicators to assess emergency general surgery

Editor's Note Development of and adherence to quality indicators by providers may improve the quality of emergency general surgery, for which current outcomes are modifiable, finds this study. Of 25 quality indicators developed and rated as valid, there were 13 for patient-level and 12 for hospital-level quality. Adherence with 18…

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By: Judy Mathias
July 6, 2017
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OR/SPD: Dynamic Partners for Patient Safety and Quality Webinar - On Demand

Time: 2:00 p.m. – 3:00 p.m. ESTCEs: 1 Contact Hour *Please note that this event is held in Eastern Standard Time OR/SPD: Dynamic Partners for Patient Safety and Quality The relationship between perioperative services and sterile processing staff is the foundation for the safety of patients undergoing surgical procedures. Along with…

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