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Journal Article > Commentary
Optimal preoperative assessment of the geriatric surgical patient: a best practices guideline from the American College of Surgeons National Surgical Quality Improvement Program and the American Geriatrics Society.
Chow WB, Rosenthal RA, Merkow RP, Ko CY, Esnaola NF. J Am Coll Surg. 2012;215:453-466.
This guideline describes recommendations for preoperative assessment of elderly surgical patients, including risk factors for postoperative delirium and pulmonary complications, to enhance safety and reduce readmissions.
Journal Article > Study
Nicholas LH, Osborne NH, Birkmeyer JD, Dimick JB. Arch Surg. 2010;145:999-1004.
Hospitals are now required to report adherence to measures intended to prevent post-surgical complications, including surgical site infections. These measures are being publicly reported by groups including the Centers for Medicare and Medicaid Services. However, this analysis found that high levels of adherence to these accountability measures were not correlated with postoperative mortality, surgical site infection rate, or other complications, calling into question the value of public reporting of such measures.
Journal Article > Review
Ghaferi AA, Dimick JB. Br J Surg. 2016;103:e47-e51.
Failure-to-rescue is considered a potential contributing factor in the wide variations in surgical mortality rates. This review explored the evidence regarding the surgical mortality of older patients and found system factors that affected failure-to-rescue rates, including safety culture and access to technology. The authors suggest that teamwork and communication improvement can help reduce failure-to-rescue in this patient population.