keyword
MENU ▼
Read by QxMD icon Read
search

Ambulatory surgical centers

keyword
https://www.readbyqxmd.com/read/29924657/predicting-the-ideal-patient-for-ambulatory-cleft-lip-repair
#1
Victor Chang, Brendan O'Donnell, William J Bruce, Uma Maduekwe, Max Drescher, Bernandino M Mendez, Anai N Kothari, Parit A Patel
BACKGROUND: The utilization of ambulatory surgical centers (ASCs) for cleft lip repair is increasing to reduce costs. This study better defines the patient population appropriate for ambulatory cleft repair with uplift modeling, a predictive analytics technique. METHODS: Pediatric patients who underwent cleft lip repair were identified in the 2007 to 2011 California Healthcare Cost and Utilization Project State Inpatient Database and State Ambulatory Surgery and Services Database...
January 1, 2018: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/29913394/many-us-hospital-affiliated-freestanding-ambulatory-surgery-centers-are-located-on-hospital-campuses-relevant-to-interpretation-of-studies-involving-ambulatory-surgery
#2
Dean Elhag, Franklin Dexter, Mohamed Elhakim, Richard H Epstein
STUDY OBJECTIVE: The US Agency for Healthcare Research and Quality's State Ambulatory Surgery Database includes procedures performed at hospital outpatient surgery departments. We hypothesized that, among US hospitals with an anesthesia department and freestanding outpatient surgical center, the prevalence on hospital campuses (i.e., within 250 yards of the main hospital building) would be sufficiently large (e.g., >10%) to influence interpretation of observational studies performed with US national ambulatory surgery datasets...
June 15, 2018: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/29905617/impact-of-clinical-guidelines-on-revisits-after-ambulatory-pediatric-adenotonsillectomy
#3
Helen H Lee, Nicholas M Dalesio, Anthony T Lo Sasso, William C Van Cleve
BACKGROUND: Pediatric adenotonsillectomies are common and carry known risks of potentially severe complications. Complications that require a revisit, to either the emergency department or hospital readmission, increase costs and may be tied to lower reimbursements by federal programs. In 2011 and 2012, recommendations by pediatric and surgical organizations regarding selection of candidates for ambulatory procedures were issued. We hypothesized that guideline-associated changes in practice patterns would lower the odds of revisits...
June 12, 2018: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29903541/endoscopic-versus-open-carpal-tunnel-release-a-detailed-analysis-using-time-driven-activity-based-costing-at-an-academic-medical-center
#4
Daniel M Koehler, Ramji Balakrishnan, Ericka A Lawler, Apurva S Shah
PURPOSE: In order to effectively improve value in health care delivery, providers must thoroughly understand cost drivers. Time-driven activity-based costing (TDABC) is a novel accounting technique that may allow for precise characterization of procedural costs. The purpose of the present study was to use TDABC to characterize costs in a high-volume, low-complexity ambulatory procedure (endoscopic vs open carpal tunnel release [CTR]), identify cost drivers, and inform opportunities for clinical improvement...
June 11, 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29902639/outpatient-anterior-cervical-discectomy-a-french-study-and-literature-review
#5
Antoine Gennari, Simon Mazas, Pierre Coudert, Olivier Gille, Jean-Marc Vital
INTRODUCTION: In France, surgery for lumbar disc herniation is now being done in the outpatient ambulatory setting at select facilities. However, surgery for the cervical spine in this setting is controversial because of the dangers of neck hematoma. We wanted to share our experience with performing ambulatory anterior cervical discectomy in 30 patients at our facility. RESULTS: Since 2014, 30 patients (16 men, 14 women; mean age of 47.2 years) with cervical radiculopathy due to single-level cervical disc disease (19 at C5-C6 and 11 at C6-C7) were operated at our ambulatory surgery center...
June 11, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/29861126/evaluation-of-factors-driving-cost-variation-for-distal-radius-fracture-open-reduction-internal-fixation
#6
Nikolas H Kazmers, Christopher H Judson, Angela P Presson, Yizhe Xu, Andrew R Tyser
PURPOSE: Distal radius fracture open reduction and internal fixation (ORIF) represents a considerable cost burden to the health care system. We aimed to elucidate demographic-, injury-, and treatment-specific factors influencing surgical encounter costs for distal radius ORIF. METHODS: We retrospectively reviewed adult patients treated with isolated distal radius ORIF between November 2014 and October 2016 at a single tertiary academic medical center. Using our institution's information technology value tools-which allow for comprehensive payment and cost data collection and analysis on an item-level basis-we determined relative costs (RC) for each factor potentially influencing total direct costs (TDC) for distal radius ORIF using univariate and multivariable gamma regression analyses...
May 31, 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29788356/return-to-duty-rates-following-minimally-invasive-spine-surgery-performed-on-active-duty-military-patients-in-an-ambulatory-surgery-center
#7
Elder Granger, Stefan Prada, Zoltan Bereczki, Michael Weiss, Chip Wade, Reginald Davis
Background: Low back pain is a primary health care utilization driver in the US population. Health care evaluation visits for low back pain are as common as medical evaluation for the common cold. Low back pain is the most common reason for reductions in activities of daily living and work activity in the general population. Although these statistics are compelling, in the military population, there is arguably a significantly greater economic impact on the military population, as the cost to train, retain, and deploy a service member is a tremendous cost...
May 21, 2018: Military Medicine
https://www.readbyqxmd.com/read/29778348/preoperative-antibiotics-in-wrist-arthroscopy
#8
Ryan J Hoel, Marcus J Mittelsteadt, S Andrew Samborski, Deborah C Bohn
PURPOSE: This study seeks to evaluate the need for preoperative antibiotics for wrist arthroscopy. METHODS: A retrospective review of 576 consecutive wrist arthroscopies was performed over a 10-year period at a single ambulatory surgery center. The chart of each included patient was reviewed for postoperative infections following the National Nosocomial Infections Surveillance criteria for diagnosis. RESULTS: Of the 576 wrist arthroscopies reviewed, 324 met the inclusion criteria...
May 16, 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29777565/unanticipated-hospital-admission-in-pediatric-patients-with-congenital-heart-disease-undergoing-ambulatory-noncardiac-surgical-procedures
#9
Koichi Yuki, Sophia Koutsogiannaki, Sandra Lee, James A DiNardo
BACKGROUND: An increasing number of surgical and nonsurgical procedures are being performed on an ambulatory basis in children. Analysis of a large group of pediatric patients with congenital heart disease undergoing ambulatory procedures has not been undertaken. AIMS: The objective of this study was to characterize the profile of children with congenital heart disease who underwent noncardiac procedures on an ambulatory basis at our institution, to determine the incidence of adverse cardiovascular and respiratory adverse events, and to determine the risk factors for unscheduled hospital admission...
May 18, 2018: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/29774937/-application-of-robotic-surgery-to-treat-carcinoma-in-the-remnant-stomach
#10
Feng Qian, Jiajia Liu, Junyan Liu, Junyan Fan, Yongliang Zhao, Yan Shi, Yingxue Hao, Peiwu Yu
OBJECTIVE: To explore the surgical techniques and feasibility of robotic surgery for carcinoma in the remnant stomach(CRS). METHODS: Clinicopathological data of 20 CRS patients undergoing robotic surgery at the Minimally Invasive Center for Gastrointestinal Surgery, Army Medical University Southwest Hospital from November 2012 to October 2017 were retrospectively collected. The surgical methods, procedures, main difficulties, and key techniques were analyzed, and the clinical efficacy was evaluated...
May 25, 2018: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/29732420/functional-and-survival-outcomes-in-patients-undergoing-surgical-treatment-for-metastatic-disease-of-the-spine
#11
Vignesh K Alamanda, Myra M Robinson, Jeffrey S Kneisl, Joshua C Patt
Background: Retrospective review of a prospective database. Spine metastasis has been shown to occur in 40% of cancer patients with an annual incidence of over 18,000 cases in North America alone. In this study, we sought to explore the functional and survival outcomes of patients undergoing surgical treatment for metastatic disease of the spine. Methods: A retrospective cohort study of a prospective database at a major cancer center was conducted. A total of 55 patients who met the inclusion criteria from January 2010 to December 2015 were included...
March 2018: Journal of Spine Surgery (Hong Kong)
https://www.readbyqxmd.com/read/29729832/reducing-environmental-surface-contamination-in-healthcare-settings-a-statewide-collaborative
#12
Shari L Solomon, Joan D Plisko, Sara M Wittig, Lindsay V Edwards, Robert H Imhoff, Bonnie DiPietro, Marc J Plisko
To help reduce healthcare-associated infection (HAI) rates across the state, the Maryland Patient Safety Center's Clean Collaborative (Collaborative) supported 17 acute care hospitals, 3 long-term care facilities, and 4 ambulatory surgical centers in improving environmental surface cleaning, with the goal of reducing rates of Clostridium difficile infection, which the Collaborative team selected as a proxy for HAIs. Eighty-eight percent of participating facilities achieved the program goal of a 10% reduction in relative light units from the baseline month to the final month of the Collaborative...
May 2, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29712614/the-impact-of-price-transparency-for-surgical-services
#13
Ambar Mehta, Tim Xu, Ge Bai, Kristy L Hawley, Martin A Makary
Increasing insurance deductibles have prompted some medical centers to initiate transparent pricing. However, the impact of price transparency (PT) on surgical volume, revenue, and patient satisfaction is unknown, along with the barriers to achieving PT. We identified ambulatory surgical centers in the Free Market Medical Association database that publicly list prices for surgical services online. Six of eight centers (75%) responded to our data collection inquiry. Among five centers that reported their patient volume and revenue after adopting PT, patient volume increased by a median of 50 per cent (range 10-200%) at one year...
April 1, 2018: American Surgeon
https://www.readbyqxmd.com/read/29678319/cancellation-of-surgeries-integrative-review
#14
Narmeen Al Talalwah, Kimberly H McIltrot
PURPOSE: To analyze cancellations of surgeries and identify evidence-based interventions to address this issue. DESIGN: Integrative literature review. METHODS: An integrative literature search was conducted in four databases: CINAHL, PubMed, Embase, and Cochrane and included literature sources dated January 2011 to January 2016. The complete list of search terms consisted of the following: ambulatory surgery, day surgery center, elective surgical procedure, elective operation, elective surgery, schedule, access to care, surgery cancellation, operation cancellation, and surgery delay...
April 17, 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/29664879/surgical-treatment-of-supracondylar-humeral-fractures-in-a-freestanding-ambulatory-surgery-center-is-as-safe-as-and-faster-and-more-cost-effective-than-in-a-children-s-hospital
#15
Carson M Rider, Victor Y Hong, Timothy J Westbrooks, Jiajing Wang, Benjamin W Sheffer, Derek M Kelly, David D Spence, John M Flynn, Jeffrey R Sawyer
BACKGROUND: Despite an 88% increase in the number of pediatric fractures treated in ambulatory surgery centers (ASCs) over a 10-year period, few studies have compared outcomes of fracture treatment performed in a freestanding ASC compared with those performed in the hospital (HOSP) or hospital outpatient department (HOPD). The purpose of this study was to compare clinical and radiographic outcomes, treatment times, and costs for treatment of Gartland type II supracondylar humeral (SCH) fracture in the ASC, HOSP, and HOPD...
July 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29624524/blood-pressure-coefficient-of-variation-and-its-association-with-cardiac-surgical-outcomes
#16
Sayuri P Jinadasa, Ariel Mueller, Varesh Prasad, Kathirvel Subramaniam, Thomas Heldt, Victor Novack, Balachundhar Subramaniam
BACKGROUND: Multiple studies completed in the ambulatory nonsurgical setting show a significant association between short- and long-term blood pressure variability and poor outcomes. However, perioperative blood pressure variability outcomes have not been well studied, especially in the cardiac surgical setting. In this study, we sought to assess whether systolic and mean arterial blood pressure variability were associated with 30-day mortality and in-hospital renal failure in patients undergoing cardiac surgery requiring cardiopulmonary bypass...
April 5, 2018: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29595905/perioperative-care-of-the-breastfeeding-patient
#17
Jennifer A Simon, Melissa Carabetta, Elizabeth F Rieth, Kara M Barnett
Nurses providing surgical care in nonobstetrical ambulatory surgery centers or specialty hospitals without traditional lactation resources may need to care for patients who are breastfeeding. Nurses in these settings play an important role in supporting and protecting the breastfeeding relationship for nursing mothers separated from their infants during illness or surgical procedures. It is important for care providers to understand how hospitalization and the medications administered before, during, and after a surgical procedure affect mothers who are breastfeeding their infants...
April 2018: AORN Journal
https://www.readbyqxmd.com/read/29584566/time-resident-involvement-and-supply-drive-cost-variability-in-septoplasty-with-turbinate-reduction
#18
Nicholas A Quinn, Jeremiah A Alt, Shaelene Ashby, Richard R Orlandi
Objective To determine factors that influence cost variability in septoplasty with inferior turbinate reduction. Study Design Case series with chart review. Setting Tertiary care hospital and affiliated ambulatory surgical center. Subjects and Methods Surgical costs were reviewed for adult patients undergoing septoplasty with inferior turbinate reduction between December 2014 and September 2017. Cases where additional procedures were performed were excluded. Operative supply costs, operative time, room time, and resident involvement were determined...
March 1, 2018: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/29580243/factors-associated-with-the-use-of-cognitive-aids-in-operating-room-crises-a-cross-sectional-study-of-us-hospitals-and-ambulatory-surgical-centers
#19
Shehnaz Alidina, Sara N Goldhaber-Fiebert, Alexander A Hannenberg, David L Hepner, Sara J Singer, Bridget A Neville, James R Sachetta, Stuart R Lipsitz, William R Berry
BACKGROUND: Operating room (OR) crises are high-acuity events requiring rapid, coordinated management. Medical judgment and decision-making can be compromised in stressful situations, and clinicians may not experience a crisis for many years. A cognitive aid (e.g., checklist) for the most common types of crises in the OR may improve management during unexpected and rare events. While implementation strategies for innovations such as cognitive aids for routine use are becoming better understood, cognitive aids that are rarely used are not yet well understood...
March 26, 2018: Implementation Science: IS
https://www.readbyqxmd.com/read/29578883/skin-and-soft-tissue-surgery-in-the-office-versus-operating-room-setting-an-analysis-based-on-individual-level-medicare-data
#20
Jonathan Kantor
BACKGROUND: The relative volume of skin and soft tissue excision and reconstructive procedures performed in the outpatient office versus facility (ambulatory surgical center or hospital) differs by specialty, and has major implications for quality of care, outcomes, development of guidelines, resident education, health care economics, and patient perception. OBJECTIVE: To assess the relative volume of surgical procedures performed in each setting (office vs ambulatory surgery center [ASC]/hospital) by dermatologists and nondermatologists...
March 23, 2018: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
keyword
keyword
52714
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"