Quality Improvement

Latest Issue of OR Manager
October 2019
Home Safety/Quality > Quality Improvement

Association of overlapping, nonconcurrent surgery with patient outcomes

Editor's Note Overlapping, nonconcurrent surgery was not associated with an increase in serious unanticipated events in this study. Of 61,525 surgical procedures performed over 1 year at a large academic medical center, a total of 8,391 patients had any overlap (beginning or end) and were matched on 11 variables. Compared…

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By: Judy Mathias
September 12, 2019
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Joint Commission posts new CCC Certification measure implementation guide

Editor's Note The Joint Commission on September 11 announced that it had posted a new version of the Comprehensive Cardiac Center (CCC) Certification program’s standardized measures implementation guide on its website with updated measure specifications. Beginning January 1, 2020, data collection on five new inpatient performance measures will be mandatory…

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By: Judy Mathias
September 12, 2019
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Effect of multicomponent home-based treatments on mobility after hip fracture in older adults

Editor's Note Current rehabilitation practices may not be sufficient for hip fracture recovery in older adults, this study finds. A total of 210 patients from three US academic centers were randomized to a training intervention group (105 patients), which included aerobic, strength, balance, and functional training, or an active control…

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By: Judy Mathias
September 11, 2019
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Postop opioid prescribing in US, Canada, Sweden

Editor's Note This study found a very large variability in the use of postoperative opioids in different countries. The study sample included 129,379 opioid-naïve patients in the US, 84,653 in Canada, and 9,802 in Sweden. More than 70% of surgical patients in the US (76.2%) and Canada (78.6%) filled opioid prescriptions…

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By: Judy Mathias
September 10, 2019
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9/11 World Trade Center exposure linked to long-term CVD risk in firefighters

Editor's Note In this study, a significant association was found between exposure to World Trade Center dust and long-term cardiovascular disease (CVD) risk in firefighters. Of 9,796 firefighters analyzed, those who arrived first at the World Trade Center when dust was the thickest were found to have a 44% increased…

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By: Judy Mathias
September 9, 2019
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Robotic vs laparoscopic cholecystectomy

Editor's Note In this study, robotic cholecystectomy was associated with lesser lengths of stay and readmission rates than laparoscopic cholecystectomy. The robotic procedure also had greater operative duration and hospital costs. Of 3,255 patients who had cholecystectomy during the study period, the researchers matched 106 robotic and 1,060 laparoscopic cases.…

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By: Judy Mathias
September 5, 2019
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Effect of ‘regression to the mean’ on excess readmissions

Editor's Note Strong evidence suggests that most declines in excess readmissions--after implementation of Medicare’s Hospital Readmission Reduction Program (HRRP)--at poorly performing hospitals can be explained by a statistical phenomenon called “regression to the mean [RTM],” this study finds. In RTM, entities farther away from the mean in one period are…

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By: Judy Mathias
September 4, 2019
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Effect of patient transport to the OR by anesthesia vs ICU personnel on workflow

Editor's Note In this study, changing the responsibility for ICU patient transports to the OR from the anesthesia to the ICU services did not change turnover times, but it resulted in more on-time starts and high compliance with preoperative checklist documentation. The crude proportion of on-time starts increased from 32.6%…

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By: Judy Mathias
September 3, 2019
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Is it safe to let residents independently perform appendectomies?

Editor's Note Senior surgical residents can safely supervise junior residents performing appendectomies, and training programs should encourage faculty to let senior residents manage operative appendicitis as independently as possible as well as supervise junior residents intraoperatively, this study finds. In this review of 928 appendectomies performed at the University of…

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By: Judy Mathias
August 29, 2019
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Joint Commission: R3 Report details new standards for perinatal safety

Editor's Note The Joint Commission on August 28 announced the publication of an R3 Report on two new standards designed to improve the quality and safety of perinatal care in accredited hospitals. The standards, which will take effect July 1, 2020, require organizations to examine their processes and procedures for…

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By: Judy Mathias
August 29, 2019
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