Pediatric SSIs after ambulatory surgery
Editor's Note This study led by researchers at Children’s Hospital at Montefiore, Bronx, New York, finds that morbidity is also associated with surgical site infections (SSIs) after ambulatory surgery in children. Of 65,056 patients analyzed and 13, 795 chart reviews, 45 SSIs were identified after pediatric ambulatory surgery. The weighted…
New machine learning models predict adverse postop abdominal hernia surgery outcomes
Editor's Note Machine learning (ML) models designed by surgeons at the University of Texas MD Anderson Cancer Center in Houston show a high level of accuracy in predicting which types of patients are most likely to have a hernia recurrence or other complications after surgery in this study. Of 725…
Johns Hopkins robot performs first laparoscopic intestinal anastomosis without human help
Editor's Note The Smart Tissue Autonomous Robot (STAR), designed by a team of researchers at Johns Hopkins University, has performed laparoscopic intestinal anastomoses in four experiments on pig tissue without human help. The robot outperformed surgeons using manual-laparoscopic and robot-assisted surgical techniques in the consistency of suture spacing and bite…
Raising awareness of “Near-Miss,” retained surgical sharps
In 2018, Sam Weprin, MD, started his first year of residency in Urology. During one of his first prostatectomy cases, he witnessed an impeccable surgery performed by the attending surgeon. Unfortunately, a surgical needle went missing inside the patient. The surgeon and her team spent an hour searching for it,…
The Joint Commission releases 2020 sentinel event statistics
Editor's Note The Joint Commission, on March 24, released its sentinel event statistics for 2020, which totaled 794. The top five most frequently reported events were: Falls: 170 Unintended retention of a foreign object: 106 Suicide: 81 Delay in treatment: 76 Wrong-site surgery: 68. The Joint Commission’s Office of Quality…
Impact of COVID-19 on HAIs
Editor's Note To provide flexibility to healthcare workers responding to the COVID-19 crisis, the Centers for Medicare & Medicaid Services (CMS) waived reporting requirements for healthcare associated infections (HAIs) through June 2020. Using the experience of hospitals in New York City and St Louis, Missouri, the authors provide commentary on…
Establishing and leveraging data analytics for ERAS
Virginia Commonwealth University Health System (VCU Health) in Richmond is a Magnet facility, and as such we continually examine innovative ideas to improve the quality, safety, and care of our patients. Evidence has linked Enhanced Recovery After Surgery (ERAS) with better outcomes, and ERAS has become a focal point at…
Study: Circadian rhythm involved in healing from surgery
Editor's Note The effectiveness of non-steroidal anti-inflammatory drugs (NSAIDs) in managing pain, healing, and recovery after bone fracture depends on when you take them, this study from McGill University finds. The researchers found that NSAIDs are most effective in promoting postoperative healing when taken during the active phase of the…
Development of surgery-specific second victim peer support program
Editor's Note In this study, researchers at the Massachusetts General Hospital, designed, implemented, and assessed the effect of the first surgery-specific peer support program in the US. The program uses five steps: creation of a conceptual framework choice of peer supporters training of peer supporters multifaceted identification of major adverse…
Editorial
Projections for healthcare industry trends in 2020 started to proliferate near the end of 2019 as attention turned to the new year. Reflecting on the Institute of Medicine’s (IOM) landmark 1999 report, “To Err Is Human: Building a Safer Health System,” some healthcare leaders said the report has raised awareness…
