“Your Lung Operation” provides patients with the knowledge
and training to support full participation and optimal recovery. Safety measures such as site
marking, ID band checks, and pneumonia prevention strategies are demonstrated to support
the surgeon and health care professional in meeting all CMS and Joint Commission guidelines
for safe surgery and optimal recovery.
The program is free to members and contains:
; A 20-page booklet and 30-minute DVD with information on preoperative prep, cancer
staging, procedure overview, potential risks, discharge, and home care.
; Information sheets, including lung images, medication lists, exercise and pulmonary
rehab activity guides, quit smoking resources, and survivorship plan.
; Additional resources, including a patient evaluation form.
; For nonmembers, this program can be purchased individually or bulk pricing is available.
; Hospital broadcast rights also available for purchase.
PAR TNERS IN YOUR SURGICAL CARE©
Education for a Better Recovery
This Surgical Patient Education Program is a collaborative by the American College of Surgeons with the Society of Thoracic Surgery,
the American Association for Thoracic Surgery, the Association of periOperative Registered Nurses, and the Commission on Cancer.
THIS PROGRAM IS FUNDED IN PART BY A GRANT FROM ETHICON ENDO;SURGERY.
To order, visit www. SurgicalPatientEducation.facs.org.
AMERICAN COLLEGE OF SURGEONS | DIVISION OF EDUCATION
Blended Surgical Education and Training for Life
Study: Readmissions due to post-discharge complications
According to a study recently published in the
Journal of the American Medical Association (JAMA),
readmissions in the first 30 days after surgery were
associated with new post-discharge complications
related to the surgical procedure and not to a
worsening or mismanagement of conditions the
patient already had while hospitalized for surgery.
As a Clinical Scholar at the American College
of Surgeons (ACS), Ryan P. Merkow, MD, MS,
and colleagues examined the reasons, timing, and
factors associated with unplanned postoperative
hospital readmissions within 30 days after
surgery. The study reviewed data from patients
undergoing surgery at hospitals participating in
the ACS National Surgical Quality Improvement
Program (ACS NSQIP®), January through
December 2012. Readmission rates and reasons
were assessed for all surgical procedures and for
six representative operations: bariatric procedures,
colectomy or proctectomy, hysterectomy,
total hip or knee arthroplasty, ventral hernia
repair, and lower extremity vascular bypass.
Readmission as a quality and cost-containment
metric is a major issue for hospitals, clinicians,
and policymakers. Financial penalties for
readmission have been expanded beyond medical
conditions to include surgical procedures.
Understanding the causes of readmissions
could help direct future surgical quality
improvement efforts and policy decisions
designed to reduce surgical readmission rates.
The unplanned 30-day readmission rate
for 498,875 operations was 5. 7 percent. For the
individual procedures, the rate of readmission
ranged from 3. 8 percent after hysterectomy to 14. 9
percent after lower extremity vascular bypass. The
most common reason for unplanned readmission
was surgical site infection ( 19. 5 percent), ranging
from 11. 4 percent after bariatric surgery to 36. 4
percent after lower extremity vascular bypass.
Co-authors of the study, which has received
prominent media coverage, include Karl
Y. Bilimoria, MD, MS, FACS, ACS Faculty
Scholar and director, Surgical Outcomes and
Quality Improvement Center, Northwestern
University, Chicago, IL; and Clifford Y. Ko,
MD, MS, MSHS, FACS, Director of ACS NSQIP
and the Division of Research and Optimal
Patient Care. View the study in JAMA at jama.