This cohort study uses Veterans Health Administration data to compare postoperative mortality at 30, 90, and 180 days and at 1 year to determine if 30-day mortality is a valid quality metric.
Tapia et al test the hypothesis that residents lack a foundation in several nonclinical core competencies and develop a curriculum for integration into current didactic time. Proportions of resident responses are scored as positive (agree or strongly agree) or negative (disagree or strongly disagree) on 10 topics of a needs assessment survey.
This cross-sectional analysis investigates the potential effects of the Bundled Payments for Care Improvement Initiative on net margins among Medicare patients undergoing colectomy at a tertiary care hospital.
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 study compares the availability of trauma care resources in Ghana in 2004 vs 2014.
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 describes an international competency-based training paradigm for hernia surgery in underserved countries.
Rose et al evaluate the safety of endovascular vs open repair of abdominal aortic aneurysm by measuring Patient Safety Indicators associated with each procedure over time. Cases were extracted from the Nationwide Inpatient Sample (2003-2010). Main outcome measures were Patient Safety Indicators and mortality. See the Invited Commentary by Suding and Paxton.