Opening book details…
Can I read Never Events After Hepatopancreatobiliary Operations on EtoBox?
Never Events After Hepatopancreatobiliary Operations by Jeffrey J. Siracuse; Munizay Paracha; Alik Farber; Denis Rybin; Gheorghe Doros; Jennifer Tseng; David McAneny; Teviah Sachs is a Medicine article available to read on EtoBox.
What is Never Events After Hepatopancreatobiliary Operations about?
## Background: In 2008, the centers for medicare & medicaid services (cms) terminated reimbursement for never events (ne). ne in hepatopancreatobiliary (hpb) patients are poorly understood. we investigated the incidence and effects of ne in this population. ## Methods: We queried the nationwide inpatient sample (nis) to identify all patients who underwent hpb operations, before (cohort a: 2003-2007) and after (cohort b: 2008-2011) the cms mandate. we compared incidence, demographics, outcomes and predictors of ne. ## Results: We identified 57,436 hpb patients, of whom 624 (1.1%) incurred a ne. ne occurred more frequently after pancreas (1.4%) than liver (0.9%) and biliary (0.8%) operations (p < .01). the most common ne were falls (43%) and vascular-catheter-associated infections (28%). paralysis, chronic renal insufficiency, metastatic cancer, altered mental status, weekend admissions and non-elective procedures were correlated with ne. an overall increase in ne was observed between cohorts. ## Discussion: Hpb surgery patients who sustain ne have significantly worse outcomes, and despite cms policy changes, ne incidence has not improved. further efforts to combat ne in hpb surgery
Who reads Never Events After Hepatopancreatobiliary Operations?
It is typically read by researchers, students, and practitioners in Medicine.
- Author
- Jeffrey J. Siracuse; Munizay Paracha; Alik Farber; Denis Rybin; Gheorghe Doros; Jennifer Tseng; David McAneny; Teviah Sachs
- Publisher
- Elsevier Science; Elsevier ; Elsevier BV (ISSN 0002-9610)
- Published
- 2018
- Language
- EN
- Field
- Medicine (Health Sciences)