• SOURCE: Journal of the American Medical Association

Edited Package: Wound Infection Top Reason For Readmission After Surgery

ID

364659

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Edited Package
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B-ROLL Patient undergoing surgery, gurney being pushed down hospital hallway ONE OF THE FIRST QUESTIONS PATIENTS ASK AFTER UNDERGOING SURGERY IS WHEN CAN THEY GO HOME. THEY RARELY THINK ABOUT THE POSSIBILITY THAT A COMPLICATION COULD BRING THEM BACK TO THE HOSPITAL. SOT/FULL Karl Y. Bilimoria, M.D., M.S., - Feinberg School of Medicine, Northwestern University Super@:10 Runs:06 “Patients simply don’t want to be readmitted to the hospital and they certainly would rather sleep in their own beds rather than a hospital bed.” B-ROLL Gurney being pushed down hallway, Dr. Bilimoria walking down hall passed sign on wall, patient waiting for room in hallway, graphic AND HOSPITALS CAN FACE FINANCIAL PENALTIES IF READMISSIONS RATES ARE TOO HIGH. DR. KARL BILIMORIA FROM THE FEINBERG SCHOOL OF MEDICINE AT NORTHWESTERN UNIVERSITY AND CO-AUTHORS EXAMINED THE REASONS WHY PATIENTS RETURN TO THE HOSPITAL AFTER UNDERGOING SURGERY. RESEARCHERS LOOKED AT ONE YEAR’S WORTH OF DATA FROM THE AMERICAN COLLEGE OF SURGEONS, NATIONAL SURGICAL QUALITY IMPROVEMENT PROGRAM. THEY FOCUSED ON SIX REPRESENTATIVE OPERATIONS INCLUDING BARIATRIC PROCEDURES, TOTAL HIP OR KNEE REPLACEMENTS AND HYSTERECTOMY. SOT/FULL Karl Y. Bilimoria, M.D., M.S., - Feinberg School of Medicine, Northwestern University Super@:42 Runs:08 “In the time frame that we studied, roughly 30 days after the surgery we found that about 5.7 percent of patients were readmitted to the hospital.” B-ROLL Various shots of surgery READMISSION RATES RANGED FROM ABOUT 4 PERCENT FOR A HYSTERECTOMY TO ABOUT 15 PERCENT FOR VASCULAR BYPASS SURGERY OF THE LEGS. SOT/FULL Karl Y. Bilimoria, M.D., M.S., - Feinberg School of Medicine, Northwestern University Super@:57 Runs:03 “The number one reason overall was wound infections.” GXF FULL JAMA COVER THE STUDY APPEARS IN JAMA, JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION. SOT/FULL Karl Y. Bilimoria, M.D., M.S., - Feinberg School of Medicine, Northwestern University Super@1:04 Runs:10 (Video covering middle of bite: nurse going into patient room and pulling the curtain) “The second most common reason was also fairly similar across all of the operations and that really was prolonged return of bowel function or their inability to eat right after the surgery.” B-ROLL Gurney being pushed down hallway DR. BILIMORIA SAYS THESE ARE ALL EXPECTED COMPLICATIONS OF SURGERY BUT DEVELOP AFTER, NOT BEFORE, PATIENTS LEAVE THE HOSPITAL. SOT/FULL Karl Y. Bilimoria, M.D., M.S., - Feinberg School of Medicine, Northwestern University Super@1:20 Runs:18 (Video covering middle of bite: pan from sign down to nurses station) “And that will really help hospitals understand where to focus their efforts if they are to reduce readmissions. It also gives policy makers some information about how to craft readmission reduction programs going forward particularly for surgery because the reasons for why patients are coming back to the hospital really relates to expected complications.” B-ROLL Nurses walking in hallway CATHERINE DOLF, THE JAMA REPORT.
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