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 ResearchConceptsEmergency 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 standards
2020
Benchmarking the value of care: Variability in hospital costs for common operations and its association with procedure volume.
Zogg CK, Bernard AC, Hirji SA, Minei JP, Staudenmayer KL, Davis KA. Benchmarking the value of care: Variability in hospital costs for common operations and its association with procedure volume. Journal Of Trauma And Acute Care Surgery 2020, 88: 619-628. PMID: 32039972, PMCID: PMC7802807, DOI: 10.1097/ta.0000000000002611.Peer-Reviewed Original ResearchConceptsLaparoscopic appendectomyLaparoscopic cholecystectomyHospital costsMeans of USMedian costProcedure volumeEmergency general surgeryTotal hospital costsMedian hospital costsNational Inpatient SampleAdults 18 yearsNational cost savingsAnnual procedure volumeValue of careHospital complicationsIndex hospitalHealth care valuePatient characteristicsAdverse outcomesInpatient SampleInclusion criteriaGeneral surgeryHospitalLevel IIICommon operation
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 ResearchConceptsCommon 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 IIIAmerican 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 ResearchConceptsEmergency 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 assessmentMacroeconomic trends and practice models impacting acute care surgery
Bernard A, Staudenmayer K, Minei JP, Doucet J, Haider A, Scherer T, Davis KA. Macroeconomic trends and practice models impacting acute care surgery. Trauma Surgery & Acute Care Open 2019, 4: e000295. PMID: 31058241, PMCID: PMC6461137, DOI: 10.1136/tsaco-2018-000295.Peer-Reviewed Original ResearchEmergency general surgeryElective surgeryCritical careCritical care codesAcute care surgeonsAcute care surgeryCare delivery modelsOperative case volumeSignificant healthcare needsCare surgerySurgeon satisfactionInpatient carePractice modelTrauma surgeonsGeneral surgeryCase volumeSurgeryCare codesACS surgeonsHealthcare needsPopulation agesSurgeonsAvailable surgeonsCareProfessional revenueThe Economic Footprint of Acute Care Surgery in the United States
Knowlton LM, Minei J, Tennakoon L, Davis KA, Doucet J, Bernard A, Haider A, Scherer L, Spain DA, Staudenmayer KL. The Economic Footprint of Acute Care Surgery in the United States. Journal Of Trauma And Acute Care Surgery 2019, Publish Ahead of Print: &na;. PMID: 30589750, PMCID: PMC6433481, DOI: 10.1097/ta.0000000000002181.Peer-Reviewed Original ResearchConceptsAcute care surgeryEmergency general surgeryACS patientsClinical Modification diagnosisInpatient populationInternational ClassificationAdult ACS patientsNon-surgical patientsHealth care utilizationHigher mean costSurgical critical careNonoperative conditionsACS diagnosisAdult patientsPatient characteristicsCare surgeryCare utilizationAdult admissionsEGS conditionsInpatient costsInpatient hospitalizationCritical careGeneral surgeryMean costPatients
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 ResearchConceptsInternal 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 risk
2017
Acute care surgery fellowship graduates' practice patterns
Burlew CC, Davis KA, Fildes JJ, Esposito TJ, Dente CJ, Jurkovich GJ. Acute care surgery fellowship graduates' practice patterns. Journal Of Trauma And Acute Care Surgery 2017, 82: 208-210. PMID: 27779596, DOI: 10.1097/ta.0000000000001309.Peer-Reviewed Original ResearchConceptsEmergency general surgeryGeneral surgeryPractice patternsLevel IACS fellowshipFellowship trainingAcademic Level IElective general surgeryCurrent practice patternsSurgery of TraumaSurgical critical careHospital-based groupScope of practiceFellowship programsAmerican AssociationTrauma designationElective casesThoracic surgeryTeaching hospitalCritical careSurgeryTrauma surgeryCase mixVascular casesPractice demographicsInternational rotations
Ferrada P, Ivatury RR, Spain DA, Davis KA, Aboutanos M, Fildes JJ, Scalea TM. International rotations. Journal Of Trauma And Acute Care Surgery 2017, 82: 51-57. PMID: 27779594, DOI: 10.1097/ta.0000000000001307.Peer-Reviewed Original ResearchConceptsAcute care surgerySurgical critical careMajority of PDsOperative casesEmergent general surgeryProgram directorsOperative exposureCritical careTrauma systemGeneral surgeryResponse rateMost program directorsSCC fellowshipsCase loadREDCap toolInternational rotationsMost fellowsTraumaCase exposureSurgeryFellow educationMost fellowships
2010
Acute care surgery in evolution
Davis KA, Rozycki GS. Acute care surgery in evolution. Critical Care Medicine 2010, 38: s405-s410. PMID: 20724873, DOI: 10.1097/ccm.0b013e3181ec55c8.Peer-Reviewed Original ResearchConceptsAcute care surgeryAcute surgical conditionsCare surgerySurgical conditionsGeneral surgeonsEmergency general surgeryAcute care surgeonsSurgery of TraumaSurgical critical careEmergency care accessCritical careCare accessGeneral surgeryTimely careSurgeryTrauma surgeryAvailability of surgeonsSurgeonsCare demandsPatientsAmerican AssociationCareEmergency callsSpecialtiesTrauma
2007
Pitfalls of Implementing Acute Care Surgery
Kaplan LJ, Frankel H, Davis KA, Barie PS. Pitfalls of Implementing Acute Care Surgery. Journal Of Trauma And Acute Care Surgery 2007, 62: 1264-1271. PMID: 17495734, DOI: 10.1097/ta.0b013e318053dfd8.Peer-Reviewed Original ResearchConceptsEmergency general surgeryAcute care surgeryCare surgeryGeneral surgeryEmergency general surgery careClinical care programsGeneral surgery careCritical care surgeonsCritical care practiceMEDLINE literature searchSurgery serviceSurgery careCommunity hospitalPhysician extendersSurgeryCare programFirm recommendationsCare practicesLiterature searchResident staffingOperative scheduleMajor meetingsNational presentationsPractice paradigmCurrent practice