Annals of surgery
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We report for the first time the use of the Operating Room Black Box (ORBB) to track checklist compliance, engagement, and quality. ⋯ ORBB provides the unprecedented ability to assess not only compliance with surgical safety checklists but also engagement and quality. Utilization of this technology allows the assessment of compliance in near real time and to accurately address safety threats that may arise from noncompliance.
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To demonstrate the feasibility of implementing a CBE curriculum within a general surgery residency program and to evaluate its effectiveness in improving resident skill. ⋯ Completion of a CBE rotation led to significant improvements in PGY-2 residents' LC performance that reached that of PGY-3s and decreased performance variability. These results support wider implementation of CBE in resident training.
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The aim of this study was to provide a full HRM data set in patients with a normal functioning fundoplication. ⋯ We offer a new standard manometric profile for a normally functioning fundoplication which provides a necessary benchmark for analyzing postoperative problems with a fundoplication. The previously acceptedupper limit defining esophageal outflow obstruction (IRP >20 mm Hg) is not clinically applicable after fundoplication as the majority of patients in this dysphagia-free cohort exceeded this value. Interestingly, there does not seem to be a significant difference in HRM LES values between complete and partial fundoplication.
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To assess the contribution of unknown institutional factors (contextual effects) in the de-implementation of cALND in women with breast cancer. ⋯ Compared to known patient, tumor, and institutional factors, contextual effects had a higher contribution to the variation in cALND use.
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Multicenter Study
Outcomes of a Multicenter Training Program in Robotic Pancreatoduodenectomy (LAELAPS-3).
To assess feasibility and safety of a multicenter training program in robotic pancreatoduodenectomy (RPD) adhering to the IDEAL framework for implementation of surgical innovation. ⋯ This multicenter RPD training program in centers with sufficient surgical volume was found to be feasible without a negative impact of the learning curve on clinical outcomes.