Current therapy in colon and rectal surgery by Victor W Fazio; James M Church; C P Delaney

By Victor W Fazio; James M Church; C P Delaney

Greatly revised, this 2d variation focuses completely on useful medical technological know-how and advances in colon and rectal surgical procedure. It maintains to supply ''expert'' views and crucial info on present therapies--ranging from new diagnostic modalities and clinical therapeutics to surgery innovations, together with minimum entry surgical procedure. presents a ''quick session with experts'' on contemporary Read more...

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27 They discovered that while surgeons rated the quality of collaboration with other surgeons as “high” or “very high” 85% of the time, nurses rated their collaboration with surgeons highly only 48% of the time. To improve communication, some experts have suggested holding preoperative meetings similar to those used in aviation. Nundy et al. 28 These meetings, averaging 2 min, reduced intraoperative delays from 31% to 25%. Furthermore, delays due to communication failure decreased by 80%, and overall communication failure dropped by 17%.

Nevertheless, Dimick et al. 35 Within a short period after adoption of NSQIP in the VA system, Khuri et al. 36 Since the widespread adoption of NSQIP, Henderson et al. 2 g/dL or lymphocyte count <3000 per μL Note: ECG, electrocardiogram; CXR, chest radiograph; BUN, blood urea nitrogen; MI, myocardial infarction; CHF, congestive heart failure; COPD, chronic obstructive pulmonary disease; MELD, model for end-stage liver disease; UTI, urinary tract infection; FeNa, fractional excretion of sodium. 37 Unfortunately, NSQIP does not assess quality at the level of the individual surgeon, although factors determining surgical quality are often due to systems and teams of care.

Ann Surg 1998;228(4):491–507. This introduction to the National Surgical Quality Improvement Program (NSQIP) described the various aspects of the program and set the stage for its expansion from the Veterans’ Affairs system to most other forums of health care. Khuri SF, Henderson WG, Daley J, Jonasson O, Jones RS, Campbell DA Jr et al. Successful implementation of the Department of Veterans Affairs’ National Surgical Quality Improvement Program in the private sector: The Patient Safety in Surgery study.

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