Journal of the American College of Surgeons
-
Comparative Study
A population-based analysis of neighborhood socioeconomic status and injury admission rates and in-hospital mortality.
Research indicates that neighborhood socioeconomic status (N-SES) is inversely related to injury and injury-related mortality. We hypothesized that injury-related hospitalization rates would vary by N-SES and that N-SES would be related to in-hospital mortality. ⋯ N-SES was inversely related to crude injury rates for all mechanisms. However, in-hospital mortality was not associated with N-SES level.
-
Comparative Study
Laparoscopic approach significantly reduces surgical site infections after colorectal surgery: data from national surgical quality improvement program.
The goal of this study was to compare surgical site infection (SSI) rates between laparoscopic (LAP) and open colorectal surgery using the National Surgical Quality Improvement Program (NSQIP) database. ⋯ The LAP approach is independently associated with a reduced SSI when compared with open surgery and should, when feasible, be considered for colon and rectal conditions.
-
This study examines the development and implementation of a pilot human factors curriculum during a 2-year period. It is one component of a comprehensive 5-year human factors curriculum spanning core competencies of interpersonal and communication skills, systems-based practice, and professionalism and using low-and high-fidelity simulation techniques. ⋯ This unique and comprehensive human factors curriculum is shown to be effective in building communication competency for junior-level residents in the human and emotional aspects of surgical training and practice. Continued refinement and ongoing data acquisition and analyses are underway.
-
Comment Letter
Radiofrequency ablation use in hepatocellular carcinoma.
-
Historical Article
Wherever the dart lands: toward the ideal trauma system.