Enhanced recovery after surgery program at Kaiser Permanente improves surgical outcomes
May10

Enhanced recovery after surgery program at Kaiser Permanente improves surgical outcomes

A comprehensive Enhanced Recovery After Surgery program implemented in Kaiser Permanente’s 20 Northern California medical centers involved nearly 9,000 surgical patients and resulted in a one-third relative reduction in postoperative complication rates and a 21 percent reduction in opioid prescribing rates. A study of the program, published today in JAMA Surgery, also showed decreased hospital mortality among colorectal resection patients and increased rates of home discharge over discharge to skilled nursing facilities among hip fracture patients.

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The Effect of Implementation of Preoperative and Postoperative Care Elements of a Perioperative Surgical Home Model on Outcomes in Patients Undergoing Hip Arthroplasty or Knee Arthroplasty
May03

The Effect of Implementation of Preoperative and Postoperative Care Elements of a Perioperative Surgical Home Model on Outcomes in Patients Undergoing Hip Arthroplasty or Knee Arthroplasty

On the basis of our preliminary findings, it appears that a PSH model with its expanded role of the anesthesiologist as the “perioperativist” can be associated with improvements in the operational outcomes of increased on-time surgery starts and reduced anesthesia-related delays and day-of-surgery case cancellations, and decreased selected costs in patients undergoing THA and TKA.

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Senate committee calls for ban on surgeons conducting simultaneous operations
Dec06

Senate committee calls for ban on surgeons conducting simultaneous operations

A powerful Senate committee wants all hospitals to explicitly ban surgeons from overseeing two simultaneous operations, weighing in on a controversy that has roiled Massachusetts General Hospital and spurred a national debate on patient safety.

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Is Double-Booking ORs All Bad?
Nov22

Is Double-Booking ORs All Bad?

Running concurrent ORs for high-volume surgeons is a fairly common practice, but is it safe? A new study published in the Journal of Bone & Joint Surgery suggests running overlapping rooms in orthopedic ambulatory surgery centers is just as safe and efficient as giving surgeons access to one room as time.

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Perioperative Surgical Home in Pediatric Settings: Preliminary Results
Nov01

Perioperative Surgical Home in Pediatric Settings: Preliminary Results

The Perioperative Surgical Home (PSH) is a patient-centered, team-based approach that aims to improve the value of perioperative care. We implemented a PSH for patients with adolescent idiopathic scoliosis who were undergoing posterior spinal fusion at Children’s National Health System. We hypothesized that this PSH would improve patient surgical outcomes and reduce hospital length of stay (LOS).

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Q & A with Dr. Zeev Kain – The Team Approach for Orthopedic Bundles
Oct11

Q & A with Dr. Zeev Kain – The Team Approach for Orthopedic Bundles

An exciting new conference is coming to Newport Beach, California in January 2017. Attendees can be part of a groundbreaking “immersion weekend” that brings together hospital executives and clinicians who are involved in the care of the orthopedic patient.

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