Research Ann & Robert H. Lurie Children’s Hospital of Chicago announced that is has achieved “more than a 13-fold improvement in surgical safety” after implementing a series of interventions based on high reliability principles across its ORs. The hospital said it has been experiencing a serious safety event approximately every 2,977…
A new study published in Annals of Surgery concludes that “a profound evidence gap” exists between ASC surgical volume and ASC-focused artificial intelligence (AI) research. The study, led by William M. Zhao, MD, and Gabriel A. Brat, MD, MPH, of Beth Israel Deaconess Medical Center/Harvard Medical School and Benjamin J.…
A new international study published in JMIR Perioperative Medicine calls for more rigorous monitoring of patients for the risk of postoperative complications after orthopedic surgeries, particularly myocardial injury after noncardiac surgery (MINS), major bleeding, and sepsis. “Association Between Complications and Death Within 30 Days After Orthopedic Surgery: Vascular Events in…
A new systematic review and meta-analysis published in the Journal of the American College of Surgeons finds that exercise or nutrition-based prehabilitation reduces length of stay and complications across various surgical contexts. It notes, however, that subgroup analysis revealed that each intervention “differentially impacted the primary outcomes.” It states that…
Frost & Sullivan has released its latest analysis on ASCs, calling them “one of the most significant growth opportunities reshaping healthcare delivery worldwide.” It projects that the global ASC market will grow by more than 30% between 2024 and 2029, driven by “rising demand for efficient, cost-effective, and patient-centric care.”…
The American Heart Association has issued a scientific statement in its journal Circulation on the topic of perioperative anemia and patient blood management in cardiac surgery. Calling perioperative anemia and red blood cell transfusions important risk factors for morbidity and mortality in cardiac surgery, it notes that up to 50%…
A Cleveland Clinic pediatric hospitalist sees much room for improvement in the perioperative management of pediatric patients with medical complexities characterized by rare multisystem disease. Moises Auron, MD, says that while such patients are frequently candidates for life-sustaining surgeries—often multiple surgeries—their risk for increased morbidity and mortality remains high. Cleveland…
A new study published in The New England Journal of Medicine finds that intraoperative tranexamic acid reduced red-cell transfusions across major noncardiac surgeries without increasing the risk of dangerous blood clots. The study was sponsored and coordinated by the University of Manitoba (UM) and co-led by researchers at UM and…
Development of postoperative delirium remains the strongest predictor of long-term cognitive decline, according to a new study from researchers at Mass General Brigham, Hebrew SeniorLife and Brown University. The cohort study of 560 older adults, “Rehospitalization and the Association of Postoperative Delirium With Cognitive Decline in Older Adults,” was published…
A new study evaluates the formation, implementation, and outcomes of the Musculoskeletal Quality Collaborative (MSKQC) across a Massachusetts hospital system. The study, published in The American Journal of Managed Care, states that the MSKQC, established in 2019, “comprises physician, quality, and nursing leaders from 14 hospitals” focused on value-based health…
