POPULARITY
What is an NSQIP nurse? Is this a new field of nursing? NSQIP stands for National Surgical Quality Improvement Program and the NSQIP nurse works as a surgical clinical reviewer examining surgical notes to abstract specific data so that it can be used as a basis for future quality improvement initiatives. Find out more about NSQIP nursing in this episode of NurseTalks._______________email: nursetalksIG@aol.com
Der Podcast dreht sich in dieser Folge rund um die Versorgungsqualität der Pankreaschirurgie in den USA. Über 40.000 ACS-NSQIP Registerdaten wurden in einer Publikation aus dem Jahre 2023 hochwertig analysiert. Prof. Mantke war wieder zu Gast. Viel Spaß Vawter K, Kuhn S, Pitt H, Wells A, Jensen HK, Mavros MN. Complications and failure-to-rescue after pancreatectomy and hospital participation in the targeted American College of Surgeons National Surgical Quality Improvement Program registry. Surgery. 2023 Nov;174(5):1235-1240. doi: 10.1016/j.surg.2023.07.023. Epub 2023 Aug 22. PMID: 37612210; PMCID: PMC10592020.
Cathleen Ferguson RN, BScN, RNFA, CPN(C), Duncan Rozario, MD, FRCSC, FACS, and Andrew M. Suess, MD, FRCPC review enhanced recovery after surgery and/or NSQIP preoperative components, review and identify components of a surgical site infection bundle, review how to implement an SSI reduction program and selecting your team, explore the importance for maintaining normothermia perioperatively to optimize patient outcomes, and differentiate formulations of skin antiseptics & application methods for successful decolonization.
How do you counsel the patient with a large painful hernia who still smokes a pack of cigarettes every day? Join Drs. Michael Rosen, Clayton Petro, Sara Maskal, and Ryan Ellis as they discuss some of the highlights in the literature on smoking and its impact on postoperative outcomes in elective, clean open ventral hernia repairs. Hosts: - Michael Rosen, Cleveland Clinic - Clayton Petro, Cleveland Clinic - Sara Maskal, Cleveland Clinic - Ryan Ellis, Cleveland Clinic, @ryanellismd Learning objectives: - Evaluate historical data on smoking in surgery - Compare with newer literature specific to contemporary ventral hernia repairs - Understand how the historical and new data can be applied in clinical practice References: Møller AM, Villebro N, Pedersen T, Tønnesen H. Effect of preoperative smoking intervention on postoperative complications: a randomised clinical trial. Lancet. 2002 Jan 12;359(9301):114-7. doi: 10.1016/S0140-6736(02)07369-5. PMID: 11809253. Kubasiak JC, Landin M, Schimpke S, Poirier J, Myers JA, Millikan KW, Luu MB. The effect of tobacco use on outcomes of laparoscopic and open ventral hernia repairs: a review of the NSQIP dataset. Surgical Endoscopy. 2017 Jun;31:2661-6. DeLancey JO, Blay Jr E, Hewitt DB, Engelhardt K, Bilimoria KY, Holl JL, Odell DD, Yang AD, Stulberg JJ. The effect of smoking on 30-day outcomes in elective hernia repair. The American Journal of Surgery. 2018 Sep 1;216(3):471-4. Sørensen LT. Wound healing and infection in surgery: the clinical impact of smoking and smoking cessation: a systematic review and meta-analysis. Archives of surgery. 2012 Apr 1;147(4):373-83. Petro CC, Haskins IN, Tastaldi L, Tu C, Krpata DM, Rosen MJ, Prabhu AS. Does active smoking really matter before ventral hernia repair? An AHSQC analysis. Surgery. 2019 Feb;165(2):406-411. doi: 10.1016/j.surg.2018.07.039. Epub 2018 Sep 13. PMID: 30220485. Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more. If you liked this episode, check out more hernia episodes here: https://behindtheknife.org/podcast-category/hernia/
In this episode, Dr Dante Yeh is joined by Gabriel Brat, MD, FACS, MPH and Jayson Marwaha, MD, MBI, from Beth Israel Deaconess Medical Center, Boston, MA. They discuss their recent study, which compared the predictive utility of preoperative surgeon intuition and surgical risk calculators and found that, while preoperative surgeon intuition alone is an independent predictor of patient outcomes, traditional risk calculators are more robust predictors of postoperative complication. Disclosure Information: Drs Brat and Marwaha have nothing to disclose. Dr Yeh receives author royalties from UpToDate, advisory panel/training honoraria from Takeda Pharmaceuticals, and advisory panel honoraria from Baxter, Eli Lilly, and Fresenius Kabi. To earn 0.25 AMA PRA Category 1 Credits™ for this episode of the JACS Operative Word Podcast, click here to register for the course and complete the evaluation. Listeners can earn CME credit for this podcast for up to 2 years after the original air date. Learn more about the Journal of the American College of Surgeons, a monthly peer-reviewed journal publishing original contributions on all aspects of surgery, including scientific articles, collective reviews, experimental investigations, and more. #JACSOperativeWord
Dr. Jason Wright, Editor-in-Chief, and Dr. John Fischer, Podcast Editor, review the articles that have been designated as Editors' Picks for the May 2023 issue (state variation in severe maternal morbidity; adnexal torsion management: an NSQIP analysis; Medicaid and postpartum permanent contraception). This podcast features an interview with Kavita Shah Arora, MD, MBE, author of the article on postpartum permanent contraception.
The dreaded Surgical Site Complications! Join Drs. Ashlie Nadler, Jordan Nantais and Graham Skelhorne-Gross from our Emergency General Surgery Team as they discuss surgical site complications and prevention techniques. Paper 1: Arnold et. al. (2019) Not a Routine Case, Why Expect the Routine Outcome? Quantifying the Infectious Burden of Emergency General Surgery Using the NSQIP. American Surgeon - NSQIP database 2005-2016 (>800,000 patients) including open/laparoscopic cholecystectomies, ventral hernia repairs, and partial colectomies - Comparing outcomes in emergent vs elective cases - Primary outcome: aggregate of SSIs which includes wound disruption, superficial SSI, deep SSI, and organ space SSI - Results: -- ↑SSI in the emergency group (5.3% vs 3.6%) -- When controlling for multiple variables, emergency surgery associated with more SSIs (OR 1.15). Paper 2: Lakhani et. al. (2022) Prophylactic negative pressure wound dressings reduces wound complications following emergency laparotomies: A systematic review and meta-analysis. Surgery - NPWD remove excess fluid from subcutaneous space, ↓ collections/contaminants, promote angiogenesis, fibroblast infiltration - Literature review 2005-2022 (NPWD, laparotomy, SSI) - 1199 patients included (566 NPWD, 633 standard dressings) - Results: -- NPWD ↓ wound infection (OR 0.43) and wound breakdown (OR 0.36) -- No change in LOS, readmission Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more. If you liked this episode, check out other Emergency General Surgery episodes here: https://behindtheknife.org/podcast-category/emergency-general-surgery/
First author Elizabeth Hopkins discusses how she and her colleagues used the Peds-NSQIP database to ellucidate variations in outcome between conventional vs. minimally invasive craniosynostosis surgery with Sanjay Naran, Melissa Kanack, and Carolyn Rogers-Vizena. Read the article here.
“Surgeons don't actually care that much about mortality.” So says orthopedic surgeon Dr. Rick May, a Senior Principal at Vizient. This may seem surprising, but in this episode, Dr. May goes on to explain how other metrics around surgery are much more important and valuable. In this interview, you'll hear his explanation and learn a lot more about the current move toward quality in surgical procedures. Guest speaker: Rick May, MD Senior Principal Clinical Quality Improvement Vizient Orthopedic Surgeon Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Principal Clinical Operations and Quality Vizient Show Notes: [01:03] NSQIP: value and drawbacks [01:56] Biggest challenges to surgical quality [02:35] “The surgeons actually don't care that much about mortality” [03:12] Documentation need [04:16] What surgeons need to see: a focus on complications [05:42] The captain of the ship [06:20] Role of medical complications [06:48] Perioperative focus is essential [07:50] Variance of focus among surgeons and where they need to focus [09:03] Anecdotally, 60% to 70% of opportunities for quality improvement happen before the OR Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Dr. May's contact email: rick.may@vizientinc.com ACS National Surgical Quality Improvement Program (NSQIP) Click Here Developing a Surgical Quality Improvement Program for Resource-Limited Settings (JAMA Surgery) Click Here Vizient Operations and Quality Click Here Subscribe Today! Apple Podcasts Amazon Podcasts Android Google Podcasts Spotify Stitcher RSS Feed
On this episode of We Talk Health, Dr. Trey Antwine and Dr. Andrew Myers join Will Kwasigroh and talk all about the ACS NSQIP. Jackson-Madison County General Hospital received an award for being one of 89 ACS NSQIP participating hospitals that have achieved meritorious outcomes for surgical patient care in 2019. So what exactly is the NSQIP? Why is it important? How does this benefit the West Tennessee Community? All of these questions, and more, will be answered. Tune in! Hosts: Will KwasigrohSocial Media Coordinator Dr. Andrew Myers, General Surgeon Fellow of the American College of SurgeonsDr. Harold “Trey” Antwine, Orthopedic SurgeonFellow of American Academy of Orthopedic SurgeonsWest Tennessee Bone and Joint
The latest podcast episode is with Dr. AJ Copeland- a general surgeon, retired Colonel in the Army, former President of the Association of Women Surgeons and current Regent for the American College of Surgeons, and a personal hero of mine. She describes her rise in leadership in major national surgery organizations. She is a self-described "joiner" and if there was a position that seemed right for her, she would always raise her hand to do it. Once involved in a position, she notes the importance of doing the work. She found meaningful work in AWS as a contributor on numerous projects including the AWS Pocket Mentor found here and creating the guide for patients on "What is a surgical resident" (found here) as an ACS governor. On this episode, she shared some tips on leadership: - if you find a need- either something that needs to get done, or you think you can do it better- then raise your hand and get involved - When in the position, do the work - Bring others along. You may see their potential before they do. Tell others about opportunities, and encourage them to apply. She stressed the importance of getting involved in national societies, especially the American College of Surgeons. The ACS is the umbrella organization for all surgical subspecialties. Unlike smaller societies, the ACS has the numbers to help lobby for change, advocate for what surgeons need, and provide other services like education (SESAP, ATLS, the Clinical Congress), quality (NSQIP), and other benefits. She is one of 24 Regents of the ACS, a part of the organization that is responsible for the big picture and directives for all surgeons. She was a Governor prior to this, a body of around 300 surgeons who act as representatives of the Fellows. Governors represent the Fellows of the American College of Surgeons, and are the official communications link between Fellows and the Board of Regents. https://www.womensurgeons.org/ https://www.facs.org/
Recognize the paucity of data regarding normative values of beta-hydroxybutyrate (BHB) in fasting healthy children.Describe how comparative data from the NSQIP database alerted a single institution to unusually high rates of allogeneic blood transfusion for AIS and successfully motivated interventions to improve blood transfusion rates.Identify rates of hospitalizations for Kawasaki disease in the United States from 2016 through 2020.Discuss the language outcomes and importance of reading in preterm infants.
In questo video si parla della valutazione cardiologica dei pazienti candidati a procedure chirurgiche non cardiache. Tra gli argomenti considerati ci sono gli score clinici più utilizzati per stimare il rischio personale del paziente: come il Revised cardiac risk index (RCRI), l'American College of Surgeons surgical risk calculator e il myocardial infarction or cardiac arrest (MICA) del National Surgical Quality Improvement Program (NSQIP). Si fa inoltre riferimento alle linee guida perioperatorie dell'American College of Cardiology/American Heart Association del 2014 e al concetto di MACE, Major adverse cardiovascular events. Infine vengono considerate 4 condizioni cardiache ad alto rischio considerate controindicazioni alla chirurgia non cardiaca: le Sindromi Coronariche acute, l'Insufficienza cardiaca scompensata acuta, le Tachiaritmie e le Bradiaritmie che richiedono un trattamento urgente, la Stenosi Aortica grave sintomatica.
In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez, is joined by Dr. Sarah Ackroyd to discuss postoperative complications of epidural analgesia. Dr. Sarah Ackroyd is a gynecologic oncology fellow at the University of Chicago. Her research interests include health economics and outcomes research with a focus on decision analysis and patient-centered medical decision making. Dr. Sarah Ackroyd is a gynecologic oncology fellow at the University of Chicago. Her research interests include health economics and outcomes research with a focus on decision analysis and patient-centered medical decision making. Main points: - Our study utilizing the NSQIP database found that in a cohort of >2,000 patients who received an epidural at time of hysterectomy for cancer, there was a ~14% higher rate of minor complications including blood transfusions and superficial wound infection. - Challenges of the epidural including hypotension and related complications, may be explained by the medication-induced sympathetic block that primarily prevents pain perception but can affect other sympathetic functions.J45 - Other studies in Gyn Oncology that utilized the epidural in an ERAS protocol demonstrate an overall improvement in postoperative pain scores, K43decreased opioid use, and no major complications. - In the appropriate patient with the above findings considered, regional anesthesia such as the epidural, should be considered as part of a multi-modal pain approach.
In this podcast, one of Global Spine Journal's Editor-In-Chiefs, Jeff Wang, interviews Zachary Smith on his article, "Thirty-Day Readmission Risk Factors Following Single-Level Transforaminal Lumbar Interbody Fusion (TLIF) for 4992 Patients From the ACS-NSQIP Database".
Hear a discussion on how physician feedback can improve process measure performance and how this may (or may not) relate to improvements in quality metrics. With Lahey Clinic Chief Quality Officer Rocco Ricciardi and Reviewer / Editorial author Robin McLeod.
This podcast highlights original research published in the March 2017 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. The objective for this study was to determine which complications, as defined by the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database, correlate with 30-day mortality in surgery for malignancies of the head and neck. NSQIP data from 2005 to 2014 were queried for ICD-9 codes head and neck malignancies. Multivariate logistic regression was used to examine the correlation of individual complications with 30-day mortality. The NSQIP database has been extensively validated and used to examine surgical complications, yet there is little analysis on which complications are associated with death. This study identified complications associated with increased risk of 30-day mortality following head and neck cancer surgery. These associations may be used as a measure of complication severity and should be considered when using the NSQIP database to evaluate outcomes in head and neck surgery. Click here to read the full article.
Hear author Joe Carmichael discuss with reviewer Erin Lange about the incidence and predictive factors for peripheral motor nerve injury after colectomy, based on a NSQIP analysis.
How does chronic dialysis affect outcomes after colorectal surgery? Hear Mary Kwaan and David Etzioni discuss the implications and results of a review of the American College of Surgeons NSQIP database.
Effects of participation in the National Surgical Quality Improvement Program and Prednisone in Community Acquired Pneumonia Nathan and Amol want you to understand the following: 1. Participation in the National Surgical Quality Improvement Program has not appeared to improve overall patient outcomes or cost. 2. Adjunct prednisone treatment in community acquired pneumonia reduces time to clinical ... The post Replay-The Royal We: Effects of Participation in NSQIP, Steroids for Pneumonia appeared first on Healthy Debate.
Effects of participation in the National Surgical Quality Improvement Program and Prednisone in Community Acquired Pneumonia Nathan and Amol want you to understand the following: 1. Participation in the National Surgical Quality Improvement Program has not appeared to improve overall patient outcomes or cost. 2. Adjunct prednisone treatment in community acquired pneumonia reduces time to clinical ...The post Replay-The Royal We: Effects of Participation in NSQIP, Steroids for Pneumonia appeared first on Healthy Debate.
Effects of participation in the National Surgical Quality Improvement Program and Prednisone in Community Acquired Pneumonia Nathan and Amol want you to understand the following: 1. Participation in the National Surgical Quality Improvement Program has not appeared to improve overall patient outcomes or cost. 2. Adjunct prednisone treatment in community acquired pneumonia reduces time to clinical ... The post The Royal We: Effects of Participation in NSQIP, Steroids for Pneumonia appeared first on Healthy Debate.
Effects of participation in the National Surgical Quality Improvement Program and Prednisone in Community Acquired Pneumonia Nathan and Amol want you to understand the following: 1. Participation in the National Surgical Quality Improvement Program has not appeared to improve overall patient outcomes or cost. 2. Adjunct prednisone treatment in community acquired pneumonia reduces time to clinical ...The post The Royal We: Effects of Participation in NSQIP, Steroids for Pneumonia appeared first on Healthy Debate.
Editor's Audio Summary by Edward H. Livingston, MD, Deputy Editor, the Journal of the American Medical Association, for the February 03, 2015 issue