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.
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.
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.
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.
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).
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.