- Surgical Simulation and Training
- Innovations in Medical Education
- Cardiac, Anesthesia and Surgical Outcomes
- Diversity and Career in Medicine
- Health and Medical Research Impacts
- Bariatric Surgery and Outcomes
- Hospital Admissions and Outcomes
- Gastric Cancer Management and Outcomes
- Radiology practices and education
- Body Contouring and Surgery
- Digital Imaging in Medicine
- Dental Education, Practice, Research
- Simulation-Based Education in Healthcare
- Primary Care and Health Outcomes
- Healthcare Policy and Management
- Advances in Oncology and Radiotherapy
- Physical Activity and Health
- Health Sciences Research and Education
- Healthcare professionals’ stress and burnout
- Surgical site infection prevention
- Cardiovascular Issues in Pregnancy
- Health Systems, Economic Evaluations, Quality of Life
- Blood Coagulation and Thrombosis Mechanisms
- Colorectal Cancer Surgical Treatments
- Patient Safety and Medication Errors
Brigham and Women's Hospital
2016-2021
Harvard University
2020
VA Boston Healthcare System
2020
University of Michigan–Ann Arbor
2012-2018
Agency for Healthcare Research and Quality
2016
Patient-generated health data captured from smartphone sensors have the potential to better quantify physical outcomes of surgery. The ability these discriminate between postoperative trends in activity remains unknown.To assess whether accelerometer can be used describe recovery among patients undergoing cancer operations.This prospective observational cohort study was conducted July 2017 April 2019 a single academic tertiary care hospital United States. Preoperatively, adults (age ≥18...
Although the recent quality improvement efforts have made considerable gains in improving perioperative care, these approaches largely ignore details of what occurs during operation itself. It is generally accepted that at hands surgeon a procedure has significant influence on patient outcomes. However, objectively assessing performance operating room been difficult. As result, surrogate measures, such as procedural volume, served proxies for operative proficiency.1 Recently, enthusiasm...
This JAMA Insights Clinical Update summarizes current guidelines for prevention of surgical site infections and discusses emerging strategies, such as preoperative bowel preparation negative-pressure wound therapy, that are challenging longstanding practices.
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Under bundled payment programs, hospitals receive a single for all services provided surrounding an episode of care. Because health care providers, such as and physicians, accept more financial risk under these they will need better understanding costs to identify areas target improvements in quality cost-efficiency.To examine hospital variation common high-risk procedure that is prime candidate programs (ie, bariatric surgery).In this retrospective cohort study, we used national Medicare...
Surgeons' non-technical skills are important for patient safety. The Non-Technical Skills Surgeons assessment tool was developed in the UK and recently adapted to US surgical context (NOTSS-US). aim of this study evaluate reliability distribution skill ratings given by attending (consultant) surgeons who underwent brief online training.Attending across six specialties at a large academic medical centre 10-min training, then rated 60-s standardized videos simulated operations. Intraclass...
<h3>Importance</h3> Surgical coaching is maturing as a tangible strategy for surgeons' continuing professional development. Resources to spread this innovation are not yet widely available. <h3>Objective</h3> To identify surgeon-derived implementation recommendations surgical programs from participants' exit interviews and ratings of their interactions. <h3>Design, Setting, Participants</h3> This qualitative analysis the Coaching Operative Performance Enhancement (SCOPE) program, quality...
Objective: The aim of this study was to identify examples naturalistic coaching behavior among practicing surgeons operating together by analyzing their intraoperative discussion. Background: Opportunities improve surgical performance are limited for surgeons; is one strategy address need. To develop peer programs that integrate with culture, a better understanding needed how routinely discuss operative performance. Methods: As part “co-surgery” quality improvement program, 20 faculty were...
To evaluate coaching techniques used by practicing surgeons who underwent dedicated coach training in a peer surgical program.Surgical is developing strategy for improving surgeons' intraoperative performance. How to cultivate effective skills among uncertain.Through the Surgical Coaching Operative Performance Enhancement (SCOPE) program, 46 within 4 US academic medical centers were assigned 1:1 into coach/coachee pairs. All attended 3-hour Workshop-developed using evidence from fields of...
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Patients, surgeons, and hospitals express concern regarding how to introduce surgical innovations safely effectively into clinical practice.1 Currently, physicians lack evidence-based strategies for acquiring new skills in practice.2 Hospitals similarly practical guidance authorizing use procedural patient care. The challenges involved with hospital credentialing privileging procedures are compounded by pressure-inducing expectations of patients, healthcare administrators, device...