Surgery/Specialties Editor's Note Henry Ford Health System (Detroit, Michigan) is one of dozens of organizations that have dropped out of Medicare’s bundled payment model program in the past 3 years, the November 29 Modern Healthcare reports. In 2013, three of Henry Ford Health System hospitals participated in the first phase of…
Editor's Note Surgical residents who perceived negative effects of The Accreditation Council for Graduate Medical Education’s duty hour policies on patient safety were more likely to violate duty hour policies, this study finds. Of 4,554 residents in 184 programs analyzed: 25.3% felt the current duty hour policies negatively affected patient…
Editor's Note In this study, a Risk Analysis Index was found to measure frailty in surgical patients with predictive ability equal to other frailty tools, with an additional advantage of rapid, real-time, preoperative assessment feasible for guiding surgical decision making. The Index measures frailty prospectively using a questionnaire or retrospectively…
Editor's Note Intraoperative adverse events are independently associated with substantial increases in 30-day postoperative mortality, morbidity, and prolonged length of stay in abdominal surgery patients, this study finds. Postoperative complications associated with intraoperative adverse events included deep/organ-space surgical site infections, sepsis, pneumonia, and failure to wean from ventilator. Of 9,288…
Editor's Note This study finds that general surgery residents strongly prefer work hour policies that allow them the flexibility to work longer hours when needed to provide patient care over the standard, more restrictive work schedules required by the Accreditation Council for Graduate Medical Education. The preference for flexibility becomes…
Editor's Note A global outbreak of Mycobacterium chimaera has been linked to heater-cooler devices used in cardiac surgery, this study finds. Investigators found M chimaera in heater-cooler device water circuits and air samples while the devices were running, suggesting airborne transmission from the device to the surgical site. New heater-cooler…
Editor's Note Total hip outcomes such as pain, function, range of motion, and strength are different for men and women, which could lead to gender-specific rehabilitation programs, finds this study presented November 9 at the 2016 ACR/ARHP [American College of Rheumatology/Association of Rheumatology Health Professionals] Annual Meeting. Researchers from the…
Standing out from the competition in any industry requires the use of effective marketing tactics. In the case of ambulatory surgery centers (ASCs), these tactics can be divided into physician referral, recruitment, and retention; online; and internal and external marketing. Here is a closer look at each of these. (For…
Editor's Note For older hip fracture patients, the care they received at a postacute care facility had a three to eight times greater impact on their long-term recovery than the care they received at the hospital, this study finds. Nursing home factors explained three times more variation in the odds…
Editor's Note The American College of Surgeons (ACS) on October 31 announced a new initiative to improve the knowledge and management of pain in surgical patients, with a focus on opioid risks and non-opioid alternatives. The initiative, titled, “Opioids and Surgery: Use, Abuse, and Alternatives,” will encompass the following: evidence-based…
