Quality Improvement

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

Improving OR efficiency with machine learning prediction of case-time duration

Editor's Note In this study, researchers developed service- and surgeon-specific statistical models using linear regression and machine learning to predict case-time duration at a large academic medical center. Results showed: The machine-learning algorithm had the highest predictive capability. The surgeon-specific was superior to the service-specific model, with higher accuracies and…

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By: Judy Mathias
July 22, 2019
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Effect of incentive spirometer patient reminder after CABG

Editor's Note An incentive spirometer reminder after coronary artery bypass grafting (CABG) improved patient adherence and, in turn, improved the atelectasis severity score and multiple subsequent clinical outcomes, this study finds. In this study of 212 patients who had CABG surgery, 145 were randomized by hourly reminder SpiroTimer “bell on”…

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By: Judy Mathias
July 18, 2019
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Duration, type of surgical prophylaxis linked to adverse events

Editor's Note The risk of adverse events increases with each additional day of surgical antimicrobial prophylaxis, and extended duration does not lead to additional surgical site infection (SSI) reductions, finds this study. In this study of 79,058 patients having surgical procedures in the VA healthcare system, increasing the duration of…

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By: Judy Mathias
July 18, 2019
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Hospital network participation not linked with improved outcomes, lower costs

Editor's Note Hospital network participation was not associated with improvements in surgical outcomes or Medicare expenditures, compared with hospitals not in a network, this study finds. In this analysis of nearly 2 million Medicare beneficiaries having general, vascular, cardiac, or orthopedic surgery between 2007 and 2014 at network (1,868) or…

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By: Judy Mathias
July 16, 2019
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Study: Practice of overlapping colorectal surgical procedures is safe

Editor's Note In this study, overlapping surgery in a tertiary care colorectal surgery practice was found to be safe and not linked to adverse patient outcomes. Of 1,270 patients having inpatient colorectal surgery at the Mayo Clinic, between 2012 and 2015, overlapping surgery occurred in 576 patients. Overall adverse events…

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By: Judy Mathias
July 15, 2019
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Disadvantaged neighborhoods linked to higher readmission rates

Editor's Note Residing in a disadvantaged neighborhood in Maryland and being discharged from a hospital serving a large proportion of disadvantaged neighborhoods were independently associated with increased risk of readmission in this study. 2015 data from Maryland hospitals showed a 14.1% 30-day readmission rate for patients living in neighborhoods in…

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By: Judy Mathias
July 11, 2019
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CMS penalty program not linked to hospital safety improvements

Editor's Note The Centers for Medicare and Medicaid Services (CMS) hospital penalization in the Hospital Acquired Condition Reduction Program (HACRP) was not associated with significant changes in rates of hospital acquired conditions (HACs), 30-day readmissions, or 30-day mortality and does not appear to drive meaningful clinical improvements, this study finds.…

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By: Judy Mathias
July 11, 2019
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HHS forms group to streamline quality programs

Editor's Note The Department of Health and Human Services (HHS) announced on July 9 that it has formed a summit of key industry stakeholders and government leaders to provide insight as the Trump administration seeks to streamline, improve, and align measures used across federal healthcare quality programs. The Quality Summit,…

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By: Judy Mathias
July 11, 2019
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Applications, limitations of AI for fracture detection, classification

Editor's Note Preliminary experience in the automated detection and classification of fractures using artificial intelligence (AI) shows promise, and AI may enhance processing and communicating probabilistic tasks in orthopedic surgery, this study finds. For fracture detection, researchers compared the human findings in 10 studies with AI findings. In two studies,…

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By: Judy Mathias
July 9, 2019
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Preop opioid, benzodiazepine use linked to postop mortality, opioid consumption

Editor's Note Use of opioids and benzodiazepines 6 months before surgery was associated with increased short- and long-term mortality and an increased rate of persistent postoperative opioid consumption, this study finds. In this analysis of 41,170 noncardiac surgical cases in 27,787 patients in Iceland, preoperative prescriptions for opioids only were…

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By: Judy Mathias
June 27, 2019
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