OR Scheduling

ClearFast applauds Doctor De Jonghe and his co-investigators on their recently published manuscript entitled “Reducing pre-operative fasting while preserving operating room scheduling flexibility: feasibility and impact on patient discomfort”, Acta Anaesthesiologica Scandinavica 2016. This study is a novel effort to reconcile some of the now well-recognized benefits of pre-operative oral carbohydrate loading (with ample complex carbohydrates) with the practical flexibility …

Reducing LOS

San Diego—Implementation of enhanced recovery after surgery (ERAS) protocols for pancreatic surgery decreased hospital length of stay (LOS), a study concluded, which ultimately improves quality of care, accelerates recovery, improves outcomes and optimizes utilization of health care resources. “Enhanced recovery clinical pathways are really a paradigm shift that serve to evaluate our traditional practices and make evidence-based recommendations for improvement,” …

Patient Satisfaction

Pre-Operative Oral Carbohydrate Loading is Safe and Improves Patient Satisfaction With Elective Ambulatory Surgery and Anesthesia: It’s Time for Change Ahmed S Suliman, MD, Jeannette T Crenshaw, RN, Arthur J  Mischke, MD,  Richard E  Gilder,  MS, RN, StevenR Cohen, MD. Abstract Background & Objective: Most plastic surgeries are performed on an ambulatory basis.  While patient safety is a priority for …

Carb Loading

Preoperative oral carbohydrate administration reduces postoperative insulin resistance. Nygren J, Soop M, Thorell A, Efendic S, Nair KS, Ljungqvist O. Department of Surgery, Karolinska Hospital, Stockholm, Sweden.   Abstract Infusions of carbohydrates before surgery reduce postoperative insulin resistance. We investigated the effects of a carbohydrate drink, given shortly before surgery, on postoperative metabolism.   METHOD: Insulin sensitivity, glucose turnover ([6,6, 2H2]-D-glucose) and substrate utilization were …

Hospital Outcomes

Oral Nutrition Supplements’ Impact on Hospital Outcomes in the Context of the Affordable Care Act and New Medicare Reimbursement Policies Sunday, October 20, 2013 Key Ballroom Foyer (Hilton Baltimore) Poster Board # P1-29 Health Services, and Policy Research (HSP)   Darius Lakdawalla, Ph.D.1, Julia Thornton Snider, PhD2, Daniella J. Perlroth, MD3, Chris LaVallee, MS2, Mark Thomas Linthicum, MPP2and Tomas J. Philipson, …

HCAHPS

Source: The HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey is the first national, standardized, publicly reported survey of patients’ perspectives of hospital care. HCAHPS also known as the CAHPS Hospital Survey, is a survey instrument and data collection methodology for measuring patients’ perceptions of their hospital experience. While many hospitals have collected information on patient satisfaction for …