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The study developed and tested the Kenya Hospital Assessment Tool (K-HAT) to assess surgical capacity in Kenyan hospitals. The K-HAT collected comprehensive and detailed information, presenting a significant improvement over the World Health Organization's tools. The pilot test team found the K-HAT easy to administer…
This study aimed to assess the prevalence of somatic symptom severity (sss), depression, and anxiety in surgical inpatients with different diagnostic groups of abdominal pain. The results showed that somatic symptoms were common, with 52% having moderate and 19.6% having severe sss. There was a…
Researchers conducted a pilot randomized controlled trial to investigate the effectiveness of video-based self-assessment in enhancing the surgical performance of laparoscopic cholecystectomy in trainees. They found that automated video capture and storage could improve adherence, and although the a priori trial feasibility criteria were not…
Preliminary evidence from a retrospective study using the New York State SPARCS database suggests that female surgeons have better post-operative outcomes than their male colleagues in predominantly female patient surgeries. The study examined the impact of patient-surgeon gender discordance on outcomes in bariatric, foregut, and…
Offering small financial incentives to smokers on elective surgery wait-lists did not result in clinically significant differences in smoking cessation rates before surgery. A total of 620 adult smokers were randomized, and 404 underwent surgery at the hospital. The offer of a $a70 supermarket voucher…
Most US hospital networks have low-volume hospitals performing elective surgeries that are associated with inferior outcomes. However, within these networks, there are other hospitals that meet volume standards and are located within a reasonable distance from patients' homes. The study found significant variation in rates…
Prolonged dehydration has limited impact on fundamental laparoscopic tissue handling skills, with no significant differences in force exertion. However, dehydrated participants demonstrated slower task times and increased errors in speed and precision, emphasizing the importance of hydration in maintaining optimal laparoscopic performance.
Speech communication interference events are common in operating rooms, with significant implications for patient safety. A study of 40 surgeries revealed a mean of 2.58 speech interference events per surgery, primarily involving attending physicians, circulating nurses, residents, and scrub techs. Most events occurred during patient-related…
The study compared the efficacy and efficiency of laparoscopic transverse abdominis plane block (lap-tap) versus ultrasound-guided tap (us-tap) in patients undergoing pancreatoduodenectomy and gastrectomy. The lap-tap group showed a significantly shorter median time to skin incision and a reduction in operation cost by $602 compared…
The main result of this study is that surgeons agree that patients prefer to make their own health decisions after considering their physician's opinion, rather than having the physician make decisions for them. However, the study also revealed gaps in patient-centered decision-making, as only a…
