2023
Emergency general surgery verification: Quality improvement and the case for optimal resources and process standards
Coleman J, Davis K, Savage S, Staudenmayer K, Coimbra R. Emergency general surgery verification: Quality improvement and the case for optimal resources and process standards. Journal Of Trauma And Acute Care Surgery 2023, 96: e1-e4. PMID: 37678150, DOI: 10.1097/ta.0000000000004135.Peer-Reviewed Original ResearchMeSH KeywordsEmergenciesGeneral SurgeryHospitalsHumansPostoperative ComplicationsQuality ImprovementRegistriesRetrospective StudiesSurgical Procedures, OperativeConceptsEmergency general surgeryEmergency surgical interventionDay of surgeryAcute care surgeryPublic health burdenQuality Improvement ProgramPostoperative complicationsCare surgeryHospital admissionIll patientsSurgical interventionFormal quality improvement programHealth burdenGeneral surgeryPatient careCare deliverySurgeryPrograms/servicesField of traumaOutcomes researchPatientsAdmissionHospitalNational databankPractice standardsHealthcare consolidation and the impact on surgical care delivery
Davis K. Healthcare consolidation and the impact on surgical care delivery. The American Journal Of Surgery 2023, 226: 523. PMID: 37349220, DOI: 10.1016/j.amjsurg.2023.06.012.Peer-Reviewed Original Research
2020
Urgent Care Centers Delay Emergent Surgical Care Based on Patient Insurance Status in The United States.
Hsiang WR, Wiznia D, Yousman L, Najem M, Mosier-Mills A, Jin G, Jain S, Khunte A, Davis KA, Forman HP, Schuster KM. Urgent Care Centers Delay Emergent Surgical Care Based on Patient Insurance Status in The United States. Annals Of Surgery 2020, 272: 548-553. PMID: 32932304, DOI: 10.1097/sla.0000000000004373.Peer-Reviewed Original ResearchMeSH KeywordsAmbulatory Care FacilitiesEmergency TreatmentHumansInsurance CoverageMedicaidSurgical Procedures, OperativeTime-to-TreatmentUnited StatesConceptsUrgent care centersMedicaid patientsCare centerInsurance typePrivate patientsEmergent surgical careEmergent surgical casesUrgent surgical conditionIncarcerated inguinal herniaEmergency department referralsPatient insurance statusED referralsInsurance statusReferral ratesInguinal herniaSurgical conditionsSurgical careSurgical casesPatientsPrivate insuranceCliniciansStandardized scriptMedicaidCareEmergent conditionsGeographic Variation in the Utilization of and Mortality After Emergency General Surgery Operations in the Northeastern and Southeastern United States
Becher RD, Jin L, Warren JL, Gill TM, DeWane MP, Davis KA, Zhang Y. Geographic Variation in the Utilization of and Mortality After Emergency General Surgery Operations in the Northeastern and Southeastern United States. Annals Of Surgery 2020, 275: 340-347. PMID: 32516232, PMCID: PMC7726051, DOI: 10.1097/sla.0000000000003939.Peer-Reviewed Original ResearchConceptsHospital service areasSubsequent mortalityEmergency general surgery careEmergency general surgery operationsEGS operationsCommon EGS operationsAge-standardized ratesGeneral surgery careState Inpatient DatabasesGeneral surgery operationsRandom-effects modelWide geographic variationHospital mortalityInpatient DatabaseSurgery careKruskal-Wallis testMortality rateUnwarranted variationMortalityStandardized ratesLinear random effects modelSurgery operationsUnited StatesGeographic variationCare
2019
Regionalization of emergency general surgery operations: A simulation study.
Becher RD, Sukumar N, DeWane MP, Gill TM, Maung AA, Schuster KM, Stolar MJ, Davis KA. Regionalization of emergency general surgery operations: A simulation study. Journal Of Trauma And Acute Care Surgery 2019, 88: 366-371. PMID: 31804419, PMCID: PMC7472889, DOI: 10.1097/ta.0000000000002543.Peer-Reviewed Original ResearchConceptsEmergency general surgeryHigh-volume hospitalsEGS careEmergency general surgery operationsCalifornia inpatient databaseCommon EGS operationsRisk-adjusted deathsSignificant survival benefitLow-volume hospitalsUmbilical hernia repairSmall bowel resectionHigh-mortality hospitalsGeneral surgery operationsRegional trauma systemEGS operationsBowel resectionAdult patientsPrimary outcomeSurvival benefitInpatient DatabaseHernia repairTrauma systemLevel IVGeneral surgeryCare managementHigh-performance acute care hospitals: Excelling across multiple emergency general surgery operations in the geriatric patient.
DeWane MP, Sukumar N, Stolar MJ, Gill TM, Maung AA, Schuster KM, Davis KA, Becher RD. High-performance acute care hospitals: Excelling across multiple emergency general surgery operations in the geriatric patient. Journal Of Trauma And Acute Care Surgery 2019, 87: 140-146. PMID: 31259872, PMCID: PMC7656193, DOI: 10.1097/ta.0000000000002273.Peer-Reviewed Original ResearchMeSH KeywordsAgedCaliforniaCluster AnalysisEmergenciesHospital MortalityHospitalsHumansSurgical Procedures, OperativeConceptsCommon EGS operationsEmergency general surgeryOlder patientsGeriatric patientsEmergency general surgery operationsEGS operationsCalifornia State Inpatient DatabaseGeneral surgery hospitalsPatients 65 yearsRisk-adjusted mortalitySurvival rates 1State Inpatient DatabasesGeneral surgery operationsClusters of hospitalsOperation typeHospital performanceEGS patientsSurgery HospitalInpatient DatabaseGroup of hospitalsGeriatric populationGeneral surgeryPatientsHospitalLevel IIITop-tier emergency general surgery hospitals: Good at one operation, good at them all.
DeWane MP, Sukumar N, Stolar MJ, Gill TM, Maung AA, Schuster KM, Davis KA, Becher RD. Top-tier emergency general surgery hospitals: Good at one operation, good at them all. Journal Of Trauma And Acute Care Surgery 2019, 87: 289-296. PMID: 31349347, PMCID: PMC6771423, DOI: 10.1097/ta.0000000000002367.Peer-Reviewed Original ResearchConceptsRisk-adjusted mortalityEGS hospitalsHospital risk-adjusted mortalityOperation typeEGS operationsCalifornia State Inpatient DatabaseGeneral surgery hospitalsHospital-level factorsAcute care hospitalsState Inpatient DatabasesAmerican Hospital Association databasePoor-performing hospitalsSystems of careLow-risk operationAssessment of mortalityAdult patientsCare hospitalSurgery HospitalInpatient DatabaseHospital characteristicsMultinomial logistic regressionMortality rateHospitalLevel IIIZ-scoreAmerican Association for the Surgery of Trauma (AAST) emergency general surgery guidelines gap analysis
Schuster K, Davis K, Hernandez M, Holena D, Salim A, Crandall M. American Association for the Surgery of Trauma (AAST) emergency general surgery guidelines gap analysis. Journal Of Trauma And Acute Care Surgery 2019, Publish Ahead of Print: &na;. PMID: 30768554, DOI: 10.1097/ta.0000000000002226.Peer-Reviewed Original ResearchMeSH KeywordsEmergency TreatmentHumansNeeds AssessmentPractice Guidelines as TopicSocieties, MedicalSurgical Procedures, OperativeTraumatologyConceptsEmergency general surgeryEGS diseasesSmall bowel obstructionAcute care surgeryCommon disease statesAAST gradeAmerican AssociationBowel obstructionAcute cholecystitisTrauma gradeCare surgeryAcute pancreatitisAdditional researchGeneral surgeryDisease processPatient careSurgeryLiterature searchDiseaseDisease statesAdditional literature reviewLow-quality researchDiagnosisInitial gap analysisThorough assessmentThe current and future economic state of acute care surgery.
Staudenmayer K, Bernard A, Davis KA, Doucet J, Haider A, Tres Scherer LR, Minei JP. The current and future economic state of acute care surgery. Journal Of Trauma And Acute Care Surgery 2019, 87: 413-419. PMID: 31033894, DOI: 10.1097/ta.0000000000002334.Peer-Reviewed Original ResearchEmergenciesForecastingHealth Care CostsHumansModels, StatisticalSurgical Procedures, OperativeUnited StatesWounds and InjuriesHospital Operative Volume and Quality Indication for General Surgery Operations Performed Emergently in Geriatric Patients
Becher RD, DeWane MP, Sukumar N, Stolar MJ, Gill TM, Becher RM, Maung AA, Schuster KM, Davis KA. Hospital Operative Volume and Quality Indication for General Surgery Operations Performed Emergently in Geriatric Patients. Journal Of The American College Of Surgeons 2019, 228: 910-923. PMID: 31005629, PMCID: PMC6582986, DOI: 10.1016/j.jamcollsurg.2019.02.053.Peer-Reviewed Original ResearchConceptsHospital operative volumeGeneral surgery operationsGeriatric patientsOperative volumeEmergency operationHospital volumeProbability of survivalEmergency general surgery operationsCalifornia State Inpatient DatabaseRetrospective cohort studySurgery operationsState Inpatient DatabasesHigher operative volumesAverage mortality riskOlder patientsCohort studyInpatient DatabaseGeriatric populationSurgical careSurgical qualityAmerican CollegeMortality riskOptimizing outcomesStandardized increasePatientsEvaluating mortality outlier hospitals to improve the quality of care in emergency general surgery.
Becher RD, DeWane MP, Sukumar N, Stolar MJ, Gill TM, Maung AA, Schuster KM, Davis KA. Evaluating mortality outlier hospitals to improve the quality of care in emergency general surgery. Journal Of Trauma And Acute Care Surgery 2019, 87: 297-306. PMID: 30908450, PMCID: PMC6660354, DOI: 10.1097/ta.0000000000002271.Peer-Reviewed Original ResearchMeSH KeywordsCaliforniaEmergenciesFemaleHospital MortalityHospitalsHumansMaleMiddle AgedQuality ImprovementQuality Indicators, Health CareSurgical Procedures, OperativeConceptsStandardized mortality ratioOutlier hospitalsHospital variationMortality ratioStandardized mortalityEmergency general surgery operationsCalifornia State Inpatient DatabaseEGS operationsCommon EGS operationsSignificant hospital variationEmergency general surgeryHospital-level characteristicsHospital-level variablesSignificant excess mortalityGeneral surgery operationsState Inpatient DatabasesQuality improvement initiativesQuality of careHospital quality indicatorsNational Quality ForumEGS outcomesInpatient DatabaseExcess mortalityOnly hospitalEpidemiologic studies
2018
Comparison of Internal Medicine and General Surgery Residents' Assessments of Risk of Postsurgical Complications in Surgically Complex Patients
Healy JM, Davis KA, Pei KY. Comparison of Internal Medicine and General Surgery Residents' Assessments of Risk of Postsurgical Complications in Surgically Complex Patients. JAMA Surgery 2018, 153: 203-207. PMID: 29049425, PMCID: PMC5885933, DOI: 10.1001/jamasurg.2017.3936.Peer-Reviewed Original ResearchMeSH KeywordsFemaleGeneral SurgeryHumansInternal MedicineInternship and ResidencyMalePatient SelectionPostoperative ComplicationsRisk AssessmentSelf EfficacySurgical Procedures, OperativeConceptsInternal medicine residentsComplex patientsGeneral surgery residentsPostsurgical complicationsMedicine residentsGeneral surgeryInternal medicineSurgery residentsSurgical site infectionSmall bowel resectionInguinal hernia repairInternal medicine serviceRisk-adjusted outcomesRisk-adjusted modelsDuodenal ulcer repairGeneral surgery practiceComplex clinical scenariosGeneral surgery traineesRisk of interventionCardiac complicationsComplex patient scenariosPostoperative complicationsSurgical complicationsSite infectionSurgical riskSurgeons overestimate postoperative complications and death when compared with the National Surgical Quality Improvement Project risk calculator
Pei KY, Healy J, Davis KA. Surgeons overestimate postoperative complications and death when compared with the National Surgical Quality Improvement Project risk calculator. Journal Of Surgical Research 2018, 225: 95-100. PMID: 29605041, DOI: 10.1016/j.jss.2018.01.008.Peer-Reviewed Original ResearchMeSH KeywordsForecastingHumansInternship and ResidencyMorbidityPostoperative ComplicationsQuality ImprovementRetrospective StudiesRisk AssessmentRisk FactorsSurgeonsSurgical Procedures, OperativeConceptsComplex surgical patientsGeneral surgery residentsSurgical patientsRisk calculatorNational Surgical Quality Improvement ProjectSurgical Quality Improvement ProjectSurgery residentsSurgical site infectionOverall response rateSurgical Risk CalculatorPrediction of morbidityQuality improvement projectRisk-adjusted modelsCardiac complicationsPostoperative complicationsPostoperative morbiditySite infectionSurgical riskComplex patientsAmerican CollegeClinical scenariosMorbidityResponse rateComplicationsPatients
2016
Outcomes of acute care surgical cases performed at night
Dalton MK, McDonald E, Bhatia P, Davis KA, Schuster KM. Outcomes of acute care surgical cases performed at night. The American Journal Of Surgery 2016, 212: 831-836. PMID: 27263405, DOI: 10.1016/j.amjsurg.2016.02.024.Peer-Reviewed Original ResearchConceptsAcute care surgeonsRetrospective cohort studyConditional logistic regressionMore hypotensionCohort studyOperative interventionOperative delayDay casesSurgical careOutcome differencesSurgical casesEmergency operationLogistic regressionSurgeonsPotent predictorTeam fatigueComorbiditiesSimilar degreeConfoundersOutcomesMortalityUnmeasured factorsDaysHypotensionSepsis
2009
Emergency and Urgent Surgery
Schuster KM, Davis KA, Rosenbaum SH. Emergency and Urgent Surgery. Medical Clinics Of North America 2009, 93: 1131-1148. PMID: 19665625, DOI: 10.1016/j.mcna.2009.05.011.Peer-Reviewed Original ResearchConceptsAggressive resuscitative effortsEarly surgical consultationGeneral surgical emergenciesGeneral surgical conditionsEmergency surgical careHealth care providersAggressive resuscitationUrgent surgeryPostoperative periodSurgical emergencyIll patientsSurgical illnessSurgical consultationSurgical interventionResuscitative effortsSurgical conditionsSurgical careCare providersPatientsTherapeutic interventionsInterventionSelect subsetEmergencyOpen communicationSurgery
2004
Medicare’s Bundling of Trauma Care Codes Violates Relative Value Principles
Reed RL, Luchette F, Davis KA, Esposito TJ, Poulakidas S, Santaniello J, Silver G, Pyrz K, Gamelli R. Medicare’s Bundling of Trauma Care Codes Violates Relative Value Principles. Journal Of Trauma And Acute Care Surgery 2004, 57: 1164-1172. PMID: 15625445, DOI: 10.1097/01.ta.0000151259.21467.fb.Peer-Reviewed Original Research