BUILDING A SURGICAL EXPERTISE IN INFORMATICS
Elliott R. Haut, MD; Brandyn D. Lau, MPH; Franca S. Kraenzlin, MHS; et al.
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Arch Surg. 2012;147(10):901-907. doi:10.1001/archsurg.2012.2024
In a retrospective cohort study, Haut and coauthors evaluate the effect of a mandatory computerized provider order entry鈥揵ased clinical decision support tool on compliance with prophylaxis guidelines for venous thromboembolism (VTE) and VTE outcomes among admitted adult trauma patients. See invited critique by Velmahos.
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Shin-ichiro Kobayashi, MD; Yukihiro Yokoyama, MD; Tadashi Matsushita, MD; et al.
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Arch Surg. 2012;147(10):909-917. doi:10.1001/archsurg.2012.998
Kobayashi and coauthors investigate the association between changes in procoagulant/fibrinolytic factors and thrombotic complications following a major hepatectomy. Patients who underwent a pancreatoduodenectomy were also observed as controls, for whom operation time and amount of intraoperative blood loss were comparable to those of the patients who underwent a major hepatectomy.
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Olivier Turrini, MD; Eric Lambaudie, MD; Marion Faucher, MD; et al.
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Arch Surg. 2012;147(10):919-923. doi:10.1001/archsurg.2012.988
Turrini and coworkers sought to determine the effect of hyperthermic intraperitoneal chemotherapy on postoperative outcomes at a single institution performing a high volume of cancer operations. See related commentary by Ahuja
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Usama Ahmed Ali, MD; Vincent B. Nieuwenhuijs, MD, PhD; Casper H. van Eijck, MD, PhD; et al.
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Arch Surg. 2012;147(10):925-932. doi:10.1001/archsurg.2012.1094
Ahmed Ali and colleagues conducted a cohort study with follow-up of 62 months to evaluate the effect of timing of surgery on the long-term clinical outcome of surgery in chronic pancreatitis (CP). Two hundred sixty-six patients underwent pancreatic resection and drainage procedures for pain relief.
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Liselotte N. Dyrbye, MD, MHPE; Julie Freischlag, MD; Krista L. Kaups, MD, MSc; et al.
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Arch Surg. 2012;147(10):933-939. doi:10.1001/archsurg.2012.835
Dyrbye and colleagues conducted a cross-sectional study of members of the American College of Surgeons to evaluate factors associated with their work-home conflicts and their potential personal and professional consequences.
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Waël C. Hanna, MD, MBA; David S. Mulder, MD, MSc; Gerald M. Fried, MD, FACS; et al.
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Arch Surg. 2012;147(10):940-944. doi:10.1001/archsurg.2012.992
Hanna and coauthors demonstrate that senior surgical residents would benefit from focused training by professionals with management expertise. Senior residents from all surgical subspecialties were invited to participate in a 1-day management seminar. Precourse and postcourse data were compared using the Freeman-Halton extension of the Fisher exact test to determine statistical significance.
Rachel M. Owen, MD; Sebastian D. Perez, MSPH; William A. Bornstein, MD, PhD; et al.
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Arch Surg. 2012;147(10):946-953. doi:10.1001/archsurg.2012.1485
In a prospective study of general and vascular surgery inpatients, Owen and coauthors sought to determine whether a correlation exists between Surgical Care Improvement Project (SCIP) Inf-9 compliance and postoperative urinary tract infection (UTI) rates and whether there is an association between UTI rates and SCIP Inf-9 exemption status. See invited critique by Sicklick.
Victoria M. Steelman, PhD; Mohammad H. Alasagheirin, MSN, RN
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Arch Surg. 2012;147(10):955-960. doi:10.1001/archsurg.2012.1556
To evaluate the sensitivity and specificity of a radiofrequency (RF) mat for the detection of retained surgical sponges, Steelman and Alasagheirin sequentially placed 4 surgical sponges on the abdomen and scanned the torso of 203 individuals with varying body habitus. They also compared the sensitivity of the RF mat with that of the RF wand.