Physicians

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April 2024
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How rural hospital acquisitions are impacting surgical care access

Takeaways Rural hospital purchases by larger health systems should improve access to surgical treatment in remote areas, but some acquisitions have resulted in decreased care quality and reduced access to services, as shown by recent examples. Despite challenges, rural hospital acquisitions can lead to expanded services, enhanced perioperative support, and…

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By: Sarah Falcone, BSN, RN
June 21, 2023
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ASC joint ventures: 'To be, or not to be'

With healthcare costs continuing to rise, hospitals, payers, and patients are looking for different venues for care and ways to cut costs while maintaining quality and safety. As more surgical procedures are safely performed in outpatient settings, more ambulatory surgery centers (ASCs) are being built or restructured. Partnerships between hospitals…

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By: Uyen Vo, BSN, MBA
June 21, 2023
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Ability of AI-powered chatbot to make accurate diagnoses in complex cases

Editor's Note This study by researchers at Beth-Israel Deaconess Medical Center, Boston, finds that generative artificial intelligence (AI)-powered Chat-GPT 4 is a promising potential adjunct to human cognition in diagnosing complex cases. Evaluating 70 complex and challenging patient cases in the New England Journal of Medicine’s clinicopathologic conferences (CPC), the…

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By: Judy Mathias
June 16, 2023
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Vanderbilt team develops new protocol for emergency resternotomy

Editor's Note A multidisciplinary cardiovascular intensive care unit (CVICU) team at Vanderbilt University Hospital in Nashville, Tennessee, recently conducted a bedside surgery simulation of a resternotomy to develop a new protocol for the lifesaving procedure, according to the June 15 VUMC Reporter. When a cardiac surgical patient starts bleeding postoperatively…

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By: Judy Mathias
June 16, 2023
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Study: Pediatric SSI rates in the US

Editor's Note This study led by researchers at Stanford University School of Medicine, Palo Alto, California, examines annual pediatric surgical site infection (SSI) rates among 287 US hospitals between 2015 and 2018. Overall, 27,433 surgical procedures were included in this study. The average annual SSI rates were highest for colon surgery…

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By: Judy Mathias
June 15, 2023
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ACS, SVS verify first four hospitals in Vascular Verification Program

Editor's Note The American College of Surgeons (ACS) and Society for Vascular Surgery (SVS) announced on June 14 that they had verified the first four hospitals as part of the recently launched Vascular Verification Program (Vascular-VP). To receive verification, these hospitals displayed a commitment to improving outcomes and delivering the…

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By: Judy Mathias
June 14, 2023
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National Time Out Day is June 14

Editor's Note National Time Out Day on June 14 renews attention on the surgical team to prevent wrong-site surgery by pausing before a surgical procedure begins to make sure it is the right site, right procedure, and right person, a June 7 joint statement by The Joint Commission and AORN…

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By: Judy Mathias
June 12, 2023
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Surgeons’ leadership style linked to team behavior in hybrid OR

Editor's Note This study, led by researchers in Belgium, finds that surgeons’ leadership style enhances surgical team behavior, especially during the most complex phases. A total of 22 endovascular procedures (47 hours of video recordings) were analyzed. Among the findings: Surgeons’ transformational leadership was positively related to the extent that…

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By: Judy Mathias
June 12, 2023
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FDA letter on supply shortage of nonsterile, single-use pneumatic tourniquet cuffs

Editor's Note In a June 5 letter to healthcare providers, the Food and Drug Administration (FDA) says it is aware of US healthcare facilities and providers experiencing supply constraints of nonsterile, single-use pneumatic tourniquet cuffs. The cuffs are used in elective limb surgeries and in emergency and trauma settings. During…

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By: Judy Mathias
June 12, 2023
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Automatic surgical skill assessment using AI

Editor's Note This Japanese study finds that an automatic surgical skill assessment with artificial intelligence (AI) is more objective than a manual video review-based skill assessment, and it can reduce the time consuming and labor intensive human burden of manual review.. A total of 120 intraoperative videos of laparoscopic colorectal…

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By: Judy Mathias
June 7, 2023
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