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Outpatient Surgery

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  • Resident training and informed consent

    According to a study that appears in Archives of Surgery, between 85% and 94% of patients were willing to sign forms permitting medical residents to assist surgeons, but many will not consent to giving residents a major role during surgery.
  • Keep patients happy when delays occur

    During morning surgery rush times, registrars at Indiana University Health North Hospital in Carmel began monitoring the actual time patients were arriving in a database.
  • Which is better: open, laparoscopic, or robotic?

    The author informs us that the winner of the 2010 Tour de France was Alberto Contador, riding a Specialized SL3 racing bike. The U.S. rider Chris Horner finished 12 minutes behind riding a Trek, Madone.
  • Same-Day Surgery Manager: Revamping surgery in the outpatient area

    By every standard, outpatient surgery is growing. The recession took a bite out of it, with many patients delaying elective surgery until they obtained new positions and health insurance. However, by and large, most facilities are seeing resurgence in cases again in the hospital outpatient departments (HOPDs) and freestanding centers.
  • AAAHC Institute releases benchmarking studies

    Four reports issued by the AAAHC Institute for Quality Improvement, a subsidiary of the Accreditation Association for Ambulatory Health Care (AAAHC), offer insights into some of the most common outpatient procedures, including cataract surgery, colonoscopy, low back injection, and knee arthroscopy. Highlights of the studies include:
  • SOS: Summer of surveys tests NC hospital

    One survey every three years is trying enough. But for Novant Health's Presbyterian Hospital in Charlotte, NC, that would have seemed like a vacation. Between June and August of this year, the hospital had a Joint Commission survey, a CMS survey, and the regular biannual visit from the local health department.
  • Whither peer review?

    Grena Porto, a principal consultant with QRS Healthcare Consulting in Delaware, has made a career out of advocating for patient safety and improved quality. It should not have surprised some people, then, when she posted on a patient listserv all the reasons why she believes peer review doesn't work and detailed a number of cases to illustrate why.
  • Taking the measure of measurement

    Imagine the ongoing dismay of a high school math teacher who year in and year out has to teach students how to do the problems the right way, and year in and year out sees the same mistakes over and over again.
  • RAC rules finalized

    The final rule related to recovery audit contractors (RACs) for Medicaid was released in mid-September (http://www.gpo.gov/fdsys/pkg/FR-2011-09-16/pdf/2011-23695.pdf), just over three months before it goes into effect. It provides a variety of guidance and opt-outs for states that have many compliance experts scratching their heads.
  • Does accreditation mean better outcomes?

    Being accredited by The Joint Commission makes a difference in outcomes for patients with certain diagnoses, according to a study in the October issue of the Journal of Hospital Medicine.