Preoperative frailty, measured by the modified frailty index (MFI), significantly predicts postoperative mortality. Patients who experienced in-hospital mortality exhibited higher preoperative MFI scores (0.178) compared to those discharged alive (0.115). This difference persisted on postoperative day 1 (0.240 vs. 0.143) and along the entire hospitalization trajectory. Notably, the increase in MFI scores was substantial for […]

Implementing computerized provider order entry (CPOE) prompts significantly reduced the use of empiric extended-spectrum antibiotics for non-critically ill patients with abdominal infection. In a trial involving 198,480 patients across 92 hospitals, a 35% relative reduction in antibiotic days was observed with CPOE intervention compared to routine care, while hospital length of stay and ICU transfer […]

A systematic review of 84 studies revealed that checklist interventions significantly reduced ICU length of stay and improved documentation without extending ward round duration. In contrast, structured interventions did not impact patient length of stay or 30-day readmission rates. This evidence synthesis, which included over 43,000 patients across 18 countries and 23 specialties, presents the […]

Access to surgical care poses significant challenges for roughly 100 million Americans, representing one in three individuals who face inadequate healthcare options. This disparity incurs a staggering $1 billion annually in preventable healthcare costs and contributes to higher morbidity and mortality rates. Key barriers include rural geography, hospital closures, and systemic issues affecting marginalized communities. […]

Enhanced Recovery After Surgery (ERAS) guidelines significantly lower postoperative venous thromboembolism (VTE) rates across various surgical specialties. Among 8,118 patients, those adhering to higher ERAS compliance scored a 23% reduced incidence of VTE. Notably, 11% of patients with VTE had low compliance compared to only 5.6% without VTE, indicating a strong trend. Logistic regression confirmed […]

Findings reveal that the Collaborate measure surpassed the 9-item shared-decision making questionnaire (SDM-Q-9) in statistical reliability for assessing shared decision-making in surgical care. Among hospitals, the Collaborate measure achieved a median reliability of 0.81, while for surgeons, it reached 0.49. The projected response requirements for reliability were notably low, suggesting feasibility for implementation in evaluating […]

The implementation of an operating room nursing safety management model based on Heinrich’s law led to a notable decrease in nursing safety accidents and improved nursing competencies. Quantitative analyses demonstrated significant enhancements in staff skills, health education, and patient satisfaction post-intervention (p < 0.05). Key factors influencing safety included the nursing staff's business ability and […]

The systematic review analyzed 230 studies involving 3.9 million surgical cases, demonstrating that da Vinci robotic-assisted surgery (dv-ras) generally results in shorter hospital stays and fewer complications compared to laparoscopic and open procedures. Although operative time was longer for dv-ras, it led to fewer conversions, transfusions, postoperative complications, readmissions, and deaths. The findings highlight the […]

The CARES trial aims to determine the effectiveness and safety of analgesic regimens in postoperative pain management. Enrolling adults undergoing elective surgeries, participants are randomized to receive either NSAIDs or low-dose opioids, complemented by acetaminophen. The primary outcomes include patient-reported pain intensity and side effects within the first week post-surgery. Secondary outcomes will assess various […]

Minimally invasive surgery (MIS) has improved patient outcomes, yet its implementation in Africa faces significant hurdles. Economic constraints, inadequate healthcare infrastructure, and lack of training limit its adoption across the continent. Notably, only Egypt and South Africa have established robotic surgery programs. However, advancements in tele-robotic surgery and low-cost innovations show promise. Overcoming these barriers […]