Columbia Orthopedics Quality Newsletter

Columbia Orthopedics Newsletter

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Welcome to the October Newsletter from the quality team at Columbia Orthopedics. We are excited to continue sharing our reading list and hope that you find this month's readings valuable in helping you provide the highest quality of care.

- Columbia Orthopedics Quality Team

Dr. William N. Levine, Chairman, Orthopedic Surgery
Dr. Michael G. Vitale, Vice-Chair, Strategy & Quality
Divya L. Raman, Quality & Performance Improvement Fellow

JAAOS
"Outpatient" - Same-calendar-day Discharge Hip and Knee Arthroplasty (Scully, Kappa & Melvin)
This article discusses the value and benefits of outpatient arthroplasty over traditional inpatient arthroplasty as well as the potential patient safety concerns and feasibility of same-calendar-day discharge.

Journal of the American College of Surgeons
Evidence Review for the American College of Surgeons Quality Verification Part I: Building Quality and Safety Resources and Infrastructure (Hu et al.)
In alignment with the ACS Quality Verification Program, this literature review emphasizes the importance of committed top- and mid-level hospital leadership and a dedicated committee focused on promoting high reliability and a culture of safety to building an effective quality improvement program for surgical care.

NEJM Catalyst
Hybrid Physicians Create 'Social Capital' for Health Care (Mjåset, Lawrence & Lee)
This article discusses 'hybrid physicans', who work in both clinical and nonclinical academic areas within healthcare institutions, and the increasingly vital role they play in improving the value of care delivered to patients.

Surgery
Relationships between Predischarge and Postdischarge Infectious Complications, Length of Stay, and Unplanned Readmissions in the ACS NSQIP Database (Aasen et al.)
Aasen et al. examine the relationship between key quality metrics in nine surgical specialties, utilizing the American College of Surgeons National Surgical Quality Improvement Program database, to identify opportunities for improvement.

Annals of Surgery
Taking Morbidity and Mortality Conferences to a Next Level (Verhagen, de Vos & Hamming)
The authors discuss integrating resilience engineering principles into the traditional M&M format, as a method to review not only complications but also successful outcomes that were achieved by overcoming challenges. The article states that reflecting on both complicated and uncomplicated cases allows for enhanced team morale and promotes reflection on the entire clinical course.

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