This matched-cohort study tests whether hospitals with better nursing work environments display better value than those with worse nursing environments and aims to determine patient risk groups associated with the greatest value.
This study compares surgical site infections and costs of care for patients undergoing spinal surgery before and after implementation of an infection prevention bundle in the neurosurgical unit of the Cleveland Clinic.
This study of patients undergoing hepatopancreaticobiliary surgery reports significant variability in hospital costs associated with patient and hospital characteristics.
This observational study evaluates the costs associated with surgical quality and the relative financial burden on hospitals and payers.
This case series used a review of medical records to investigate the effect of costs of an index hospital admission on subsequent readmission rates among patients undergoing colorectal, pancreatic, or hepatic resection.
This observational study assesses the effect of patient and hospital factors on mortality and readmission rates after surgical procedures and costs of surgery at safety-net hospitals.
Schweizer et al determine the excess costs associated with total, deep, and superficial surgical site infections (SSIs) among surgical patients from 129 Veterans Affairs (VA) hospitals. The Veterans Health Administration Decision Support System and VA Surgical Quality Improvement Program databases were used to assess costs associated with SSIs among surgical patients in fiscal year 2010.
This cohort analysis compares the outcomes in patients with traumatic brain injury before and after implementation of the Brain Injury Guidelines protocol.
This interrupted time series with comparison series study reports that laparoscopic adjustable gastric banding and Roux-en-Y gastric bypass were associated with flattened total health care cost trajectories but Roux-en-Y gastric bypass patients experienced lower total and prescription costs by 3 years postsurgery.
This case-control study examines postoperative outcomes following in Veterans Administration ambulatory surgery centers vs hospital outpatient departments in patients who underwent inguinal hernia surgery.
This Viewpoint discusses the importance of recommendations for all responders, including bystanders, to have the education and necessary equipment to stop severe bleeding, similar to use of cardiopulmonary resuscitation and automated external defibrillators.
Keenan et al determine the effect of a preventive surgical site infection (SSI) bundle on SSI rates and costs in colorectal surgery. In a retrospective study of institutional clinical and cost data, the primary outcome was the rate of superficial SSIs before and after implementation of the bundle. See the Invited Commentary by Leeds and Wick.
This observational study uses National Inpatient Sample data to examine the rates of complications, mortality, and costs associated with emergency general surgery.