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Implementation of an automated, sustainable quality improvement intervention significantly reduced operating room supply costs without compromising patient outcomes. Median costs per case decreased, and the incidence of out-of-control cases was lower, demonstrating enhanced value of care. The intervention, utilizing a data pipeline, involved sharing performance…
Among 1,885,889 Medicare beneficiaries included in the study, those residing in areas of higher privilege had lower chances of experiencing surgical complications, prolonged length of stay, 90-day readmission, and 90-day mortality. Moreover, individuals in the most privileged areas had a 19% increased odds of achieving…
According to a single-center prospective cohort study, physical activity levels are far from optimal following major abdominal cancer surgery. The study found that postoperative physical activity was low, with a median daily step count ranging from 71 steps on the first postoperative day to 918…
Despite the challenges posed by the COVID-19 pandemic, a retrospective study of 7436 patients undergoing surgery found no evidence of increased 30-day mortality or morbidity during the pandemic surges compared to non-surge periods. Surgical care was successfully maintained, suggesting that healthcare systems effectively adapted to…
Patients receiving opioid-free analgesia after surgery experience lower pain severity and decreased risk of side effects compared to those prescribed opioids, according to a multispecialty, prospective cohort study in 25 countries. The study involved 4273 patients from 144 centers, with 30.7% receiving opioid analgesia at…
Researchers investigated the correlation between frailty score, pre-surgical optimization, and surgical outcomes in frail patients undergoing optimization before surgery. A retrospective study was conducted on patients referred to the surgical optimization clinic and assessed for frailty, and outcomes were evaluated based on whether they proceeded…
This systematic review and meta-analysis of 285 studies, including over 8 million patients, evaluated the procedure-specific risks of symptomatic venous thromboembolism (VTE) and major bleeding in general abdominal, colorectal, upper gastrointestinal, and hepatopancreatobiliary surgeries. The risk of VTE varied widely among procedures, with VTE rates…
Surgeons' autonomic physiology, specifically their heart rate (interbeat intervals), varies intraoperatively. Attending surgeons exhibit higher heart rate reactivity during high-risk operations, while residents show lower reactivity during high-risk procedures relative to low-risk ones. Nurses respond similarly during both low-risk and high-risk operations; however, they are…
Extended postoperative antibiotic prophylaxis does not lower surgical-site infection rates in low- and middle-income countries, according to a study of 8,714 patients across 19 hospitals in Ethiopia, Madagascar, India, and Bolivia. Prolonged use of antibiotics did, however, increase hospital stays by 1.4 days. The findings…
In a cross-sectional study across 4 university-based surgical training programs, researchers used a validated tool to assess intraoperative faculty entrustment and resident entrustability behaviors. They found that faculty entrustment was positively associated with resident entrustability, and this association was consistent across the different surgical programs.…
