Periop Nursing

Latest Issue of OR Manager
December 2019
Home Periop Nursing

Improving prediction of adverse surgical outcomes with machine learning algorithm

Editor's Note In this study, a new machine learning Complexity Score algorithm outperformed three commonly used risk scores in predicting postoperative morbidity, 30-day readmission, 90-day readmission, and postoperative surper-use. Study patients underwent colectomy, abdominal aortic aneurysm repair, coronary artery bypass grafting, total hip or knee replacement, or lung resection. The…

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By: Judy Mathias
November 6, 2019
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Use of medical scribes improves workflow of surgeons, residents in an outpatient setting

Editor's Note Incorporating medical scribes into surgical practices to reduce time surgeons spend on patient documentation and managing electronic health records increases the number of patients seen by surgeons and residents in outpatient clinics, finds this study presented October 29 at the American College of Surgeons Clinical Congress 2019 in…

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By: Judy Mathias
November 5, 2019
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ACS NSQIP risk calculator predicts four outcomes for geriatric surgical patients

Editor's Note The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) Surgical Risk Calculator accurately predicted four quality-of-life outcomes that transcend traditional measures of successful surgery and now reflects the expected effects of surgery on an older patient’s ability to function independently, finds this study presented October…

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By: Judy Mathias
November 5, 2019
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Smartphone data helps surgeons understand their patients' postop recovery

Editor's Note Surgeons can better understand the effect of a patient's postoperative physical activity on their recovery by capturing passively-collected accelerometer data from their patients’ smartphones, finds this study presented October 28 at the American College of Surgeons Clinical Congress 2019 in San Francisco. Patients enrolled in the study downloaded…

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By: Judy Mathias
November 4, 2019
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Cholecystectomy tied to better outcomes when performed soon after admission

Editor's Note Delaying a cholecystectomy for acute cholecystitis more than 3 days after admission increased the rate of complications, hospital readmissions, and lengthened hospital stays, in this study presented October 30 at the American College of Surgeons Clinical Congress 2019 in San Francisco. Using 2012 to 2016 ACS National Surgical…

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By: Judy Mathias
November 4, 2019
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Postop opioid prescribing, use drop after state imposed regulations

Editor's Note A state-mandated policy restricting opioid prescriptions in Vermont greatly reduced opioid prescribing and use by surgical patients at the University of Vermont Medical Center without affecting patient satisfaction with their postoperative pain management, finds this study presented October 29 at the American College of Surgeons Clinical Congress 2019…

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By: Judy Mathias
October 31, 2019
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Association of disposable OR jackets with SSIs

Editor's Note The use of long-sleeved disposable OR jackets as recommended by AORN is not associated with reductions in surgical site infections (SSIs) and presents a fiscal burden, this study finds. In this analysis of 60,009 patients in 12 hospitals in a large multicenter health organization during a 55 month…

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By: Judy Mathias
October 29, 2019
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FDA of device shortages because of sterilization facility closures

Editor's Note The Food and Drug Administration (FDA) on October 25 released a statement warning of possible device shortages because of interruptions in ethylene oxide (EO) sterilization services due to facility closures in Illinois and Georgia. In the statement, the acting FDA Commissioner, Ned Sharpless, noted that “at this time…

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By: Judy Mathias
October 29, 2019
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Can machine learning predict 6-month mortality in cancer patients?

Editor's Note In this study, machine learning algorithms accurately identified cancer patients who were at risk of 6-month mortality. Of 26,525 cancer patients analyzed, machine learning models based on structured electronic health record data accurately predicted short-term mortality risk with good discrimination and positive predictive value. When the gradient boosting…

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By: Judy Mathias
October 28, 2019
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Mayo Clinic Care Network reduces hospital stays with ERPs

Editor's Note An Enhanced Recovery Pathway (ERP) created by the Mayo Clinic’s colorectal surgery service a decade ago has now been adopted by other surgical services in seven medical centers that are members of the Mayo Clinic Care Network, the October 15 Harvard Business Review reports. The ability of each…

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By: Judy Mathias
October 24, 2019
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