American journal of surgery
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Multicenter Study
Predictors of successful implementation of preoperative briefings and postoperative debriefings after medical team training.
The purpose of this study was to examine which factors at a medical team training learning session predict future success in the implementation of preoperative briefings and postoperative debriefings at health care facilities. ⋯ Full implementation of the patient safety tool preoperative briefings and postoperative debriefings is dependent on facility leadership support.
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From the legacy of Shukri Khuri, we have successfully implemented a regional quality collaborative in Michigan, the Michigan Surgical Quality Collaborative (MSQC). ⋯ The improved quality was likely the result of diverse process measures, many not yet recognized in the literature, which came together effectively in specific hospitals.
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Randomized Controlled Trial
Prospective randomized trial of paravertebral block for patients undergoing breast cancer surgery.
The goal of the current study was to evaluate the effect of regional anesthesia using paravertebral block (PVB) on postoperative pain after breast surgery. ⋯ PVB significantly decreases postoperative pain up to 3 hours after breast cancer surgery.
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In honor of the seminal contributions of Dr. Shukri Khuri to the foundation and development of the National Surgical Quality Improvement Program (NSQIP), a review of recent work and new directions within the American College of Surgeons (ACS) NSQIP is presented, according to the following outline:
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The authors present a case of a huge right inguinal bulge that was referred as a right inguinal hernia. At surgery, it was confirmed to be a giant lipoma of the spermatic cord. A description of the case, pictures of clinical appearance and operative specimen, and a short literature review are presented.