Archive for March, 2017

David B. Hoyt, MD, FACS

Looking forward – March 2017

In this month’s column, Dr. Hoyt describes the College’s commitment to key advocacy initiatives that ensure access to quality care for surgical patients, reduce health care costs, and promote meaningful change.

Surgeon

Evolving insights for preventing surgeon errors: Balancing professionalism and cognition with knowledge and skill

This month’s cover story outlines how cognition and self-reflection affect performance and outcomes and provides a sample case describing how behavioral factors likely contributed to an adverse event.

Figure 1. Two-dimensional view of surgical outcomes

Patient-reported outcomes in surgery: Listening to patients improves quality of care

The role of patient-reported outcome measures are identified in this article, particularly as they relate to enhanced patient engagement and improved quality of surgical care.

ACA

Value-based health care: How to succeed in a bundled care APM

This article describes bundling and Accountable Care Organizations as they relate to the Advanced Alternative Payment Model plan and provides lessons learned by one institution that developed bundled care packages to improve quality of care and control costs.

Doctor with file

Coding for nipple-sparing and skin-sparing mastectomies

Correct coding reporting descriptions for skin- and nipple-sparing mastectomies are summarized in this month’s column.

Figure 1. UTI rates

Practice changes for reducing UTIs in colon and rectal surgery patients

Researchers at Beth Israel Deaconess Medical Center, Boston, MA, sought to investigate whether standardized management of indwelling urinary catheterization placement and duration could reduce the incident of UTIs after colon and rectal surgery.

Figure 1. Overall schema of ALCHEMIST

In search of the philosopher’s stone: The ALCHEMIST study for lung cancer

This month’s column provides an update on the ALCHEMIST trials for patients with operable lung cancer, including the addition of a third arm to study, which permits the inclusion of patients without ALK or EGFR mutations.

Lord Lister in 1902

Celebrating the sesquicentennial of Lord Joseph Lister

Lord Joseph Lister’s contribution to the evolution of surgical safety is described in this month’s column, specifically how he incorporated Pasteur’s findings into his theories regarding antiseptic surgery, paving the way for a closer alignment between science and medicine.

Dr. Organ

Honoring mentors: An ACS tradition

The value of mentorship as exemplified by the Claude H. Organ, Jr., MD, FACS, Traveling Fellowship; the Thomas R. Russell, MD, FACS, Faculty Research Fellowship; and the Olga M. Jonasson Lectureship is the focus of this month’s column.

Cell phone texting

The Joint Commission clarifies stance on secure text messaging of patient care orders

The Joint Commission discourages secure texting of patient care orders for several reasons, including the increased burden of entering the information manually into the electronic health record.

Figure 1. Hospital discharge status

What you don’t see can kill you

This month’s column examines the occurrence of injured patients with retroperitoneal hematoma from a blunt mechanism reported in the National Trauma Data Bank® (NTDB®) research dataset.

Children’s Surgery Verification program officially under way

The final standards for the Children’s Surgery Verification Quality Improvement Program have been released along with a pre-review questionnaire for centers seeking verification.

ERAS

ACS launches AHRQ Safety Program for ERAS

The American College of Surgeons (ACS), in collaboration with the Johns Hopkins Medicine Armstrong Institute for Patient Safety and Quality, Baltimore, MD, has launched the AHRQ (Agency for Healthcare Research and Quality) Safety Program for Enhanced Recovery after Surgery (ERAS). This new surgical quality improvement program is funded and guided by AHRQ. The AHRQ Safety […]

ACS Quality and Safety Conference

ACS NSQIP conference gets new name, expanded focus

With a new emphasis on the broad spectrum of ACS Quality Programs, the ACS NSQIP Annual Conference will now be known as the 2017 ACS Quality and Safety Conference and will take place July 21–24 at the New York Hilton Midtown, NY.

Residents as Teachers and Leaders course

Register for 2017 ACS Residents as Teachers and Leaders Course

Registration is open for the 11th annual ACS Residents as Teachers and Leaders Course, April 28−30 at the College’s headquarters in Chicago, IL.

ACS Surgeons as Leaders Course Set for April 30

Apply now for the American College of Surgeons (ACS) Surgeons as Leaders: From Operating Room to Boardroom Course April 30–May 3 in Durham, NC.

CoC Outstanding Achievement Award

22 cancer care facilities receive biannual CoC Outstanding Achievement Award

The ACS Commission on Cancer has granted its year-end 2016 Outstanding Achievement Award to 22 accredited cancer programs throughout the U.S.

JACS

Coming next month in JACS, and online now: Distal cholangiocarcinoma and pancreas cancer

This news brief highlights a JACS article that examines the results of a distal cholangiocarcinoma and pancreatic cancer multi-institution study.

Meeting

Post-election health policy takes center stage at AMA HOD meeting

This report summarizes the topics that the College’s delegation addressed at the American Medical Association’s House of Delegates meeting in November 2016.

Globe

International scholarships for surgical education now available

The ACS Division of Education and the International Relations Committee have announced two international scholarships focused on surgical education. All 2017 application materials and supporting documents are due May 1.

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