Frequently OR leaders are at the forefront of implementing enhanced recovery after surgery (ERAS) protocols. They have the skills to facilitate implementation of ERAS and to dispel any misconceptions about it, says Donna Watson, MSN, RN, CNOR, FNP. Watson, director for Medtronic Health Systems Advantage in Boulder, Colorado, is an…

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Editor's Note The Joint Commission on December 2 launched two new resources to help healthcare providers reduce readmissions and improve the discharge process. The resources include a new “Speak Up” campaign to “Avoid a Return Trip to the Hospital,” and a “Quick Safety” newsletter. “Speak Up” includes an infographic, animated…

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Editor's Note Enhanced recovery pathways are cost-effective compared with conventional perioperative management of colorectal patients, this study finds. Of 180 patients analyzed, mean length of stay was shorter (6.5 vs 9.8 days), return to work was quicker, and there was less care giver burden in the enhanced recovery group. The…

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Editor's Note Compared to married patients, those who were divorced, separated, or widowed had a 40% greater chance of dying or developing a functional disability in the first 2 years after cardiac surgery, in this study. Characterizing the association between marital status and postoperative function may be useful for counseling…

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Editor's Note Postoperative hip fracture patients are more likely to be successfully discharged home if they are rehabilitated in centers that care for at least 25 hip fracture patients per year, this study finds. Successful discharge was 43.7% for high-volume facilities (> 24 admissions/year) vs 18.8% for low-volume facilities (1-6…

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Editor's Note Weekend discharge after major surgical procedures is not associated with higher readmission rates, this study finds. Readmission rates were similar for those discharged on a weekend vs weekday after AAA repair (8.8% vs 9.3%) and pancreatectomy (17.5% vs 15.9%). Weekend discharge was associated with a lower 30-day readmission…

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Editor's Note Seniors are much more likely than younger patients to be admitted to the hospital after ambulatory surgery, this study finds. Of more than 53,000 patients analyzed, those aged 65 and older were 54% more likely to be admitted to the hospital within 30 days of ambulatory surgery than…

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Enhanced recovery protocols aren’t a new concept, but new data linking them with better outcomes in colorectal surgery patients suggest they’re worth considering—and perhaps should be more widely adopted. In a study published online in January in the Journal of the American College of Surgeons, enhanced recovery after surgery (ERAS)…

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The medical home, consisting of a patient-centered team focusing on the coordinated delivery of care, is now embedded in the healthcare lexicon, but the perioperative surgical home (PSH) is a more recent concept that is only starting to spread across the country. “The number of hospitals in the US with…

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Postsurgical pain scores are highly correlated with reports of overall patient satisfaction during hospital stays, according to a poster presented at the 2014 American Academy of Pain Medicine annual meeting. Dermot Maher, MD, and his colleagues from Cedars Sinai Medical Center in Los Angeles examined patient responses on HCAHPS (Hospital…

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