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Re: Surgical Checklist Implementation Project: The Impact of Variable WHO Checklist Compliance on Risk-Adjusted Clinical Outcomes after National Implementation: A Longitudinal Study
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Diagnostic Urology, Urinary Diversion and Perioperative Care Re: Surgical Checklist Implementation Project: The Impact of Variable WHO Checklist Compliance on Risk-Adjusted Clinical Outcomes after National Implementation: A Longitudinal Study E. K. Mayer, N. Sevdalis, S. Rout, J. Caris, S. Russ, J. Mansell, R. Davies, P. Skapinakis, C. Vincent, T. Athanasiou, K. Moorthy and A. Darzi Department of Surgery and Cancer, Imperial College London, London, United Kingdom Ann Surg 2016; 263: 58e63. doi: 10.1097/SLA.0000000000001185
Abstract available at http://www.ncbi.nlm.nih.gov/pubmed/25775063 Editorial Comment: This study further underscores the importance of using a universal checklist for all patients undergoing surgery. The authors determined the effect of using a sign in, time out and sign out checklist for patients at 5 academic and community hospitals. It was next determined if the checklist was incomplete, partly complete or fully completed. Postoperative complications were then analyzed and compared among groups. Surprisingly full completion of the checklist was observed in only 62% of cases. Although checklist completion did not affect mortality, the risk of postoperative complications was significantly decreased when all components of the checklist were completed (16.9% vs 11.2%). Also it was determined that 14% of the complications could have been prevented if the full checklist had been implemented. Thus, it seems that careful attention and meticulous detail when completing all components of universal checklists for patients undergoing surgery are of benefit to our patients undergoing surgery. David S. Wang, MD
Re: Postoperative Care Using a Secure Online Patient Portal: Changing the (Inter)Face of General Surgery K. Kummerow Broman, O. O. Oyefule, S. E. Phillips, R. B. Baucom, M. D. Holzman, K. W. Sharp, R. A. Pierce, W. H. Nealon and B. K. Poulose Department of Surgery, Vanderbilt University Medical Center and Geriatric Research, Education and Clinical Center, Tennessee Valley Health Care System, Veterans Affairs Medical Center, Nashville, Tennessee J Am Coll Surg 2015; 221: 1057e1066. doi: 10.1016/j.jamcollsurg.2015.08.429
Abstract available at http://www.ncbi.nlm.nih.gov/pubmed/26453260 Editorial Comment: In this study patients who underwent select routine general surgery (such as laparoscopic cholecystectomy and inguinal hernia) were given online and standard in office postoperative visits. Patients were then asked to compare the online vs in office postoperative visits, specifically regarding whether such online visits were satisfactory and whether they would accept an online visit as the only followup. The majority of patients (76%) reported that they would be satisfied with only an online postoperative visit, and 68% reported that both visits were equally
0022-5347/16/1961-0001/0 THE JOURNAL OF UROLOGY® Ó 2016 by AMERICAN UROLOGICAL ASSOCIATION EDUCATION
AND
RESEARCH, INC.
http://dx.doi.org/10.1016/j.juro.2016.03.169 Vol. 196, 1-2, July 2016 Printed in U.S.A.
www.jurology.com Dochead: Urological Survey
LIT 5.4.0 DTD JURO13625_proof 6 April 2016 12:27 pm EO:
j
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DIAGNOSTIC UROLOGY, URINARY DIVERSION AND PERIOPERATIVE CARE
effective. For patients the time involved was 15 minutes for online vs 103 minutes for in person. With the widespread availability of video conferencing I wonder if this will be an option for assessing patients postoperatively in the future, especially those who must travel far for a routine postoperative visit. David S. Wang, MD
Dochead: Urological Survey
LIT 5.4.0 DTD JURO13625_proof 6 April 2016 12:27 pm EO:
123 124 125 126 127 128 129 130
Diagnostic Urology, Urinary Diversion and Perioperative Care Re: Surgical Checklist Implementation Project: The Impact of Variable WHO Checklist Compliance on Risk-Adjusted Clinical Outcomes after National Implementation: A Longitudinal Study E. K. Mayer, N. Sevdalis, S. Rout, J. Caris, S. Russ, J. Mansell, R. Davies, P. Skapinakis, C. Vincent, T. Athanasiou, K. Moorthy and A. Darzi Department of Surgery and Cancer, Imperial College London, London, United Kingdom Ann Surg 2016; 263: 58e63. doi: 10.1097/SLA.0000000000001185
Abstract available at http://www.ncbi.nlm.nih.gov/pubmed/25775063 Editorial Comment: This study further underscores the importance of using a universal checklist for all patients undergoing surgery. The authors determined the effect of using a sign in, time out and sign out checklist for patients at 5 academic and community hospitals. It was next determined if the checklist was incomplete, partly complete or fully completed. Postoperative complications were then analyzed and compared among groups. Surprisingly full completion of the checklist was observed in only 62% of cases. Although checklist completion did not affect mortality, the risk of postoperative complications was significantly decreased when all components of the checklist were completed (16.9% vs 11.2%). Also it was determined that 14% of the complications could have been prevented if the full checklist had been implemented. Thus, it seems that careful attention and meticulous detail when completing all components of universal checklists for patients undergoing surgery are of benefit to our patients undergoing surgery. David S. Wang, MD
Re: Postoperative Care Using a Secure Online Patient Portal: Changing the (Inter)Face of General Surgery K. Kummerow Broman, O. O. Oyefule, S. E. Phillips, R. B. Baucom, M. D. Holzman, K. W. Sharp, R. A. Pierce, W. H. Nealon and B. K. Poulose Department of Surgery, Vanderbilt University Medical Center and Geriatric Research, Education and Clinical Center, Tennessee Valley Health Care System, Veterans Affairs Medical Center, Nashville, Tennessee J Am Coll Surg 2015; 221: 1057e1066. doi: 10.1016/j.jamcollsurg.2015.08.429
Abstract available at http://www.ncbi.nlm.nih.gov/pubmed/26453260 Editorial Comment: In this study patients who underwent select routine general surgery (such as laparoscopic cholecystectomy and inguinal hernia) were given online and standard in office postoperative visits. Patients were then asked to compare the online vs in office postoperative visits, specifically regarding whether such online visits were satisfactory and whether they would accept an online visit as the only followup. The majority of patients (76%) reported that they would be satisfied with only an online postoperative visit, and 68% reported that both visits were equally
0022-5347/16/1961-0001/0 THE JOURNAL OF UROLOGY® Ó 2016 by AMERICAN UROLOGICAL ASSOCIATION EDUCATION
AND
RESEARCH, INC.
http://dx.doi.org/10.1016/j.juro.2016.03.169 Vol. 196, 1-2, July 2016 Printed in U.S.A.
www.jurology.com Dochead: Urological Survey
LIT 5.4.0 DTD JURO13625_proof 6 April 2016 12:27 pm EO:
j
58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 1 113 114
2
115 116 117 118 119 120 121 122
DIAGNOSTIC UROLOGY, URINARY DIVERSION AND PERIOPERATIVE CARE
effective. For patients the time involved was 15 minutes for online vs 103 minutes for in person. With the widespread availability of video conferencing I wonder if this will be an option for assessing patients postoperatively in the future, especially those who must travel far for a routine postoperative visit. David S. Wang, MD
Dochead: Urological Survey
LIT 5.4.0 DTD JURO13625_proof 6 April 2016 12:27 pm EO:
123 124 125 126 127 128 129 130