Презентация на тему Hot Topics in Surgery 2015

and Bariatric Surgery
The issue of unnecessary hospital

readmissions is now front and center in the national conversation about the quality of healthcare. The first national quality improvement project for the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) is “DROP,” or Decreasing Readmission through Opportunities Provided.

30-day readmission rates following bariatric surgery. The

program will establish national standards for facilities and surgeons performing bariatric surgery based upon a registry of more than 700 bariatric programs to establish best practices and recommendations for quality improvement.

READMISSION RATES American Society of Metabolic and Bariatric Surgery

hospital readmission rates drop by 75% and

surgical-site infections decline by 60% after changes in patient education, discharge planning and pre-operative procedures.

READMISSION RATES American Society of Metabolic and Bariatric Surgery

30-day readmission rates by 20% in 2015.

With an average price tag of $30,000 per patient, if readmissions were decreased 20% nationwide, it would decrease healthcare costs by $50-60 million.

READMISSION RATES American Society of Metabolic and Bariatric Surgery

devastating complication of cholecystectomy, one of the

most commonly performed surgical procedures in the world. It has been reported to occur in 0.2 to 1% of laparoscopic cholecystectomies.

BILE DUCT INJURIES Society of American Gastrointestinal and Endoscopic Surgeons

easily be measured, the economic burden associated

with BDI has been reported to range from $613,588 to $788,586 per million population.

BILE DUCT INJURIES Society of American Gastrointestinal and Endoscopic Surgeons

for minimizing bile duct injuries, while the

SAGES Task Force on Safe Cholecystectomy will look to establish a universal culture of safety for cholecystectomy in an effort to reduce billary injuries.
There will also be a half-day session devoted to preventing BDI and improving safety in cholecystectomy during the 2015 SAGES meeting.

BILE DUCT INJURIES Society of American Gastrointestinal and Endoscopic Surgeons

minimally invasive hysterectomies to be performed in

50,000 – 150,000 patients annually. Without it, most hysterectomy cases would convert to open procedures and robotic single site hysterectomies would be impossible.

POWER MOCCELLATION
American Association of Gynecologic Laparoscopists

because of the risk of exposing the

peritoneal cavity to an undetected uterine malignancy during morcellation.

It is the AAGL’s position that power morcellation should improve but not be abandoned, and that power morcellation with appropriate informed consent should remain available to appropriately screened, low-risk women.

POWER MOCCELLATION
American Association of Gynecologic Laparoscopists

Force (USPSTF) said prostate-specific antigen (PSA) tests

to screen for prostate cancer should not be used regardless of risk and gave PSA-based screening a grade of “D.”
The recommendation prompted the AUA to formally support the USPSTF Transparency and Accountability Act, which would ensure that Medicare or other payers cannot deny payment for a preventive service solely based on the Task Force grade.

COVERAGE FOR PSA SCREENING
American Urology Association

primary care physicians to discourage men from

having a PSA test, the Task Force should focus on how best to educate primary care physicians regarding targeted screening and how to counsel patients about their prostate cancer risk.

COVERAGE FOR PSA SCREENING
American Urology Association

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