Editor's Note Development of an anesthesia enhanced recovery pathway (ERP) at Johns Hopkins Hospital, Baltimore, resulted in a 45% reduction in length of stay in colorectal surgery patients. In addition, patient satisfaction scores improved from the 37th percentile to the 97th percentile. The goals of the ERP were achieving superior…

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Editor's Note This is the first study to use a human factors and systems engineering approach to evaluate contributors to readmissions after complex surgical procedures. Previous studies on readmissions have neglected the patient perspective, the authors say. Factors identified by patients and clinician providers that may have contributed to readmissions…

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Although most patients spend a brief time in the OR, what happens there significantly impacts a hospital’s 30-day readmission rate. According to a 2015 study in JAMA, complications related to the surgical procedure are the most common cause of readmission after surgery. The researchers analyzed data from the American College…

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They are so attractive, those surgeons with rakish beards, those nurses with sparkling manicures, those surgical technologists with dangling earrings. Unfortunately, what is acceptable in many other workplaces is an invitation to infection in the surgical arena (and other healthcare settings as well). Jean Day, BSN, CNOR, director of education…

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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 Hip fracture surgery was associated with a higher risk of mortality and morbidity than elective total hip replacement (THR) even after adjustment for age, gender, and comorbidities, in this French study. Hip fracture patients had a 1.8% chance of dying before hospital discharge compared to 0.3% for THR…

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Editor's Note Joint Commission data on 9,119 incidents reviewed from 2004 through the second quarter of 2015 show that 9,384 patients have been affected by adverse events, with 5,383 (57.4%) resulting in death, 847 (9%) in permanent loss of function, and 2,788 (29.6%) in unexpected additional care and/or psychological impact.…

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Editor's Note The Food and Drug Administration is expanding its alert for compounded or repackaged drugs stored in Becton-Dickinson (BD) syringes to include certain lots of 1 mL, 10 mL, 20 mL, and 30 mL general use syringes and BD oral syringes. The FDA’s original alert included only 3 mL…

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Editor's Note Ten years after undergoing mesh-based procedures for stress urinary incontinence (SUI), 1 of every 30 women may require a second procedure for mesh removal or revision, this study finds. Patients of lower-volume surgeons had a 37% increased risk for complications. The findings support the Food and Drug Administration’s…

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Editor's Note A trust-based accountability model that included senior hospital leadership and frontline providers provided an enabling structure to rapidly implement an integrated recovery pathway and quickly improve outcomes, value, and experience of colorectal surgical patients, in this study. The pathway included preoperative education, mechanical bowel preparation with oral antibiotics,…

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