The Value of Better Nursing Environments
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...
View ArticleRevisiting Nursing’s Effect on Surgical Quality and Cost
Improvements in surgical safety remain an important focus of hospitals and clinicians. With nearly 100 000 patients dying per year in the United States after undergoing elective surgery and mortality...
View ArticleRisks of Preoperative Narcotic Use for Patients With Crohn Disease
This study evaluates the association between preoperative use of narcotics and postoperative outcomes in patients with Crohn disease.
View ArticleEffect of Index Hospitalization Costs on Readmission
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...
View ArticleTargeting Future Health Care Expenditure Reductions
A commonly held belief states that paying more for a product is an assurance of higher quality. The adage “you get what you pay for” has been the conventional wisdom for many prospective buyers,...
View ArticleResident Turnover and Emergency Surgery Outcomes
This study reports on whether an association between the influx of new residents at the beginning of the academic year and outcomes exists among a nationally representative sample of patients who...
View ArticleDebunking the July Phenomenon
Heightened concern for patient safety emerges each July with the influx of new medical trainees and the transition of current residents to new roles. Referred to as the July phenomenon, this time...
View ArticleGlobal Benchmarking of Risk-Adjusted Surgical Outcomes
This Viewpoint describes a novel approach to measuring quality in risk-adjusted surgical outcomes for hospital-, regional-, and global-level benchmarking.
View ArticleHospital Characteristics and Surgical Site Infection
This study evaluates the association between hospital characteristics and surgical site infection measures.
View ArticleHospital and Payer Costs Associated With Surgical Complications
This observational study evaluates the costs associated with surgical quality and the relative financial burden on hospitals and payers.
View ArticleComplications, Costs, and Financial Incentives for Quality
As we move away from a fee-for-service model of health care reimbursement toward value-based purchasing, payers are assuming these new models will drive down costs while simultaneously improving...
View ArticleHospital Mortality After Elective Abdominal Aortic Aneurysm Repair
This study describes the association of patient- and hospital-level factors on in-hospital mortality after elective abdominal aortic aneurysm repair.
View ArticleAortic Centers of Excellence
The Leapfrog initiative was created with the goal of improving in-hospital mortality for high-risk procedures, including elective abdominal aortic aneurysm (AAA) repair. The aim was to lower...
View ArticlePatient-Reported Experiences of Hospital Care and the July Phenomenon
This case series examines surgical patients’ perceptions of care in July and August, with the influx of new surgical residents, vs the rest of the year.
View ArticleChallenges in Surgical Quality at Safety-Net Hospitals
This Viewpoint explores the changes that can be made to more equitably evaluate and improve surgical quality at safety-net hospitals, which provide care for a large proportion of Medicaid, uninsured,...
View ArticleRisk Factors for 30-Day Readmissions to General Surgery
This study identifies risk factors for readmission within 30 days of discharge from a general surgery service.
View Article30-Day Readmission Rate
Estimated to cost Medicare $17 billion annually, hospital readmissions represent a potential cost-savings target. Unplanned readmissions may also measure hospital and medical quality because these...
View ArticleUse of National Burden to Define Operative Emergency Surgery
This observational study uses National Inpatient Sample data to examine the rates of complications, mortality, and costs associated with emergency general surgery.
View ArticleSurvey of Trauma Care Hospitals in Syria
This nationwide survey study identifies the number of trauma hospitals operating in Syria and delineates their capacities.
View ArticleMapping Access to Essential Surgical Care in Ghana
This population-based survey assesses the performance of bellwether procedures as a proxy for performing essential surgery, maps population-level spatial access to essential surgery, and identifies...
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