Many services that once were performed only in hospitals are now being done safely and more conveniently in ambulatory surgery centers (ASCs). Though ASCs now compete with hospital outpatient departments, the difference in overall costs of providing a surgical service in the two types of facilities is not known. This…

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Surgical enhanced recovery pathways (ERPs) comprise a multimodal perioperative care pathway (including components of surgery, anesthesiology, and nursing), using evidence-based best practices to facilitate early recovery. This study describes the development of the anesthesiology portion of a colorectal ERP at Johns Hopkins Hospital, Baltimore. The anesthesiology portion of the ERP…

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Team performance in the OR requires a combination of interactions between professionals and adherence to clinical guidelines. It is possible, theoretically, that OR teams could communicate well but fail to follow standards of practice and vice versa. OR simulations offer an ideal environment to study this relationship. The goal of…

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