Archives of surgery (Chicago, Ill. : 1960)
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Randomized Controlled Trial Comparative Study
Transfusion criteria for fresh frozen plasma in liver resection: a 3 + 3 cohort expansion study.
To establish transfusion criteria for use of fresh frozen plasma (FFP) in liver resection. ⋯ In liver resection, FFP transfusion is not necessary in patients with serum albumin levels higher than 2.4 g/dL on postoperative day 2.
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Multicenter Study Comparative Study
Incorrect surgical procedures within and outside of the operating room: a follow-up report.
To describe incorrect surgical procedures reported from mid-2006 to 2009 from Veterans Health Administration medical centers and build on previously reported events from 2001 to mid-2006. ⋯ The rate of reported adverse events and harm decreased, while reported close calls increased. Despite improvements, we aim to achieve further gains. Current plans and actions include sharing lessons learned from root cause analyses, policy changes based on root cause analysis review, and additional focused Medical Team Training as needed.
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Comparative Study
Career phase of board-certified general surgeons: workload composition and outcomes.
To examine surgeon career phase and its association with surgical workload composition and outcomes of surgery. ⋯ Late-career GSs perform both better and worse compared with early-career GSs, relative to their workload composition and proportional surgical volume. Factors such as training and case complexity may contribute to these career-phase differences.
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To determine whether postoperative cardiac care by cardiothoracic surgeons in a semiclosed intensive care unit model could be distinguished from that given by intensivists who are not board certified in cardiothoracic surgery. ⋯ By virtue of their cardiac-specific operative and nonoperative training, cardiothoracic surgeons may be uniquely qualified to provide postoperative cardiac critical care. In a semiclosed unit where care of the patient is codirected, the improvements noted may have been facilitated by the commonalities between surgeons and intensivists associated with similar training and experiences.