Tag: Discharge Planning

Joint Commission offers free VTE compendium of resources

Editor's Note The Joint Commission on June 21 announced its new, free venous thromboembolism (VTE) compendium of resources. The compendium was developed to help clinicians, healthcare educators, and other healthcare professionals provide reliable and up-to-date patient education materials for VTE and anticoagulation therapy. Joint Commission Online Weekly Newsletter

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By: Judy Mathias
June 23, 2017
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Safety of PACU discharge without motor function assessment after spinal anesthesia

Editor's Note Discharge from the postanesthesia care unit (PACU) without assessment of lower limb motor function after spinal anesthesia for total hip or knee arthroplasty did not increase length of hospital stay or readmissions but significantly reduced time in the PACU (0.40 vs 1.56 hours), this study finds. This multicenter…

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By: Judy Mathias
June 7, 2017
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Improving postop transitional care with phone-based program

Editor's Note A phone-based transitional care program after complex abdominal surgery has high patient engagement and can be implemented using existing hospital infrastructure, this study finds. For the program, nurses met patients before hospital discharge and then contacted them within 24 to 72 hours to review: medication reconciliation any symptoms…

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By: Judy Mathias
May 25, 2017
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Effect of early discharge after surgery on costs

Editor's Note Early postoperative discharge after major inpatient surgery was associated with lower total surgical episode payments in this study. In this analysis of 639,943 Medicare beneficiaries undergoing colectomy, coronary artery bypass grafting (CABG), or total hip replacement, payments were significantly lower in hospitals with lowest vs highest length of…

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By: Judy Mathias
May 19, 2017
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Predictive model for extended PACU stay after outpatient surgery

Editor's Note In this study, researchers developed a predictive model that can help identify patients at higher risk for prolonged postanesthesia care unit (PACU) stay after outpatient surgery. Data on 4,151 patients at the University of California, San Diego Healthcare Systems, from 2014 to 2015, was split into a training…

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By: Judy Mathias
May 9, 2017
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Effect of PSH elements on total joint outcomes

Editor's Note In this study, the use of preoperative and postoperative elements of a Perioperative Surgical Home model in total knee and hip patients was associated with improvements in operational outcomes. The study included 1,225 patients in a preintervention PSH group and 1,363 in a postintervention PSH group. Compared with…

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By: Judy Mathias
April 26, 2017
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Evidence-based practice supports adopting ERAS protocols

As part of the shift to value-based care, a logical step for healthcare organizations is to adopt enhanced recovery after surgery (ERAS) protocols. The literature supporting the use of ERAS is growing, with many studies demonstrating that it leads to shorter length of stay (LOS) and fewer complications. Results of…

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By: Elizabeth Wood
April 21, 2017
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Methodology reduces postop mortality using VASQIP risk calculator

Editor's Note This study validates a methodology, using the Veterans Affairs Surgical Quality Improvement Program (VASQIP) risk calculator, to identify patients with a high risk of 30-day mortality after elective surgery who may benefit from referral for tertiary care. The methodology predicted that 16% (90 of 565) of patients would…

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By: Judy Mathias
March 27, 2017
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App reduces number of postop follow-up visits

Editor's Note Ambulatory surgery patients who received follow-up care via a mobile app had fewer in-person visits during the first 30 days after surgery, finds this study. Of 65 women having outpatient breast reconstruction surgery, 32 were in the mobile app group, and 33 were in the in-person follow-up care…

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By: Judy Mathias
March 22, 2017
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Safety of home discharge after total joint surgery

Editor's Note Patients who live alone can recover effectively and safely at home after total hip arthroplasty (THA) and total knee arthroplasty (TKA), finds this study presented March 14 at the 2017 Annual Meeting of the American Academy of Orthopaedic Surgeons in San Diego. Of 638 patients analyzed (364 THA,…

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By: Judy Mathias
March 17, 2017
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