Editor's Note Healthcare disparities are widely established and include differential access, care, and outcomes stemming from factors such as minority group and socioeconomic status, finds this meta-analysis. In this examination of 328 studies of healthcare disparities, researchers identified five major themes for causes of surgical disparities: patient factors−demographic, physiologic, and…

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Editor's Note This study found that implementation of a clinical practice guideline for management of pediatric complicated appendicitis standardized practice patterns among surgeons and was associated with reduced resource use and improved patient outcomes. Compared with the pre-guideline group, patients in the post-guideline group were less likely to: receive a…

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Editor's Note In this study, researchers concluded that risk-adjusted postoperative 30-day mortality is useful as a surrogate for long-term outcomes in patients at Veterans Health Administration (VHA) hospitals. Though the VHA has used 30-day mortality as a measure of surgical quality for more than 20 years, the measure has been…

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Editor's Note The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) Surgical Risk Calculator accurately estimates the risk of postoperative complications, and the calculator’s performance would improve with recalibration, this study finds. The statistical analysis for this study was based on 2.7 million surgical records collected between…

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Editor's Note The number of colonoscopies reported through the GI Quality Improvement Consortium (GIQuIC) registry reached 3 million cases in April, PRNewswire reports. CIQuIC is a national registry that allows endoscopists and endoscopy facilities to benchmark themselves and encourages quality improvement. Participants contribute real-time, procedure-related data to the registry, which…

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Editor's Note In this study from Johns Hopkins, Baltimore, payments for colectomy under Medicare’s Bundled Payments for Care Improvement Initiative were lower than a fee-for-service payment model, and the proportion of patients contributing to a net negative margin increased. Net negative margins were calculated as the difference between total hospital…

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Editor's Note The Joint Commission announced on May 18 that it had updated its Quality Check website. The website, launched in 1996, allows customers to search for accredited and certified organizations by city, state, name, zip code, or Joint Commission identification number. The updated site also lets customers search by services…

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Editor's Note Common measures used to rate hospital safety, such as the Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators and the Centers for Medicare & Medicaid Services (CMS) Hospital-acquired Conditions, do not accurately capture the quality of care provided, this study finds. Only one measure out of…

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Editor's Note The Joint Commission on May 9 announced the Pioneers in Quality Advisory Panel, a group of technical experts who will be informing the Joint Commission on the successes and challenges hospitals are experiencing in their adoption and use of electronic clinical quality measures (eCQMs). The panel also will…

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Editor's Note This study from Johns Hopkins found a wide variation in hospital price markups for major cardiothroracic and gastrointestinal surgical procedures in the US. Nearly a quarter of the 3,498 hospitals analyzed charged four times more than the actual cost of hospitalization for the procedures. Perioperative morbidity was greater…

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