Control charts to identify adverse outcomes in elective colon resectionDonald E Fry
Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
Am J Surg 203:392-6; discussion 396. 2012
..Control charts have been proposed for the measurement of quality in surgical care...
- Sepsis, systemic inflammatory response, and multiple organ dysfunction: the mystery continues
Donald E Fry
Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA
Am Surg 78:1-8. 2012
..It is concluded that failure to define novel and effective treatments reflects fundamental gaps in our understanding of inflammation and its regulation...
- A systems approach to the prevention of surgical infections
Donald E Fry
Michael Pine and Associates, Chicago, IL 60615, USA
Surg Clin North Am 89:521-37, x. 2009
..We need to adopt a culture dedicated to quality control through better information technology and data-driven initiatives to achieve improved clinical outcomes from infectious complications in surgery...
- The changing face of Staphylococcus aureus: a continuing surgical challenge
Donald E Fry
Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA
Surg Infect (Larchmt) 12:191-203. 2011
..Surgical infections of interest caused by this pathogen include community-acquired infections, especially of skin and soft tissue; surgical site infections; and nosocomial infections during the post-operative period...
- Patient characteristics and the occurrence of never events
Donald E Fry
Michael Pine and Associates, 5020 S Lake Shore Drive, Chicago, IL 60615, USA
Arch Surg 145:148-51. 2010
..To determine whether the occurrence of "never events" after major surgical procedures is affected by patient and disease characteristics and by the type of operation performed...
- Influence of double-gloving on manual dexterity and tactile sensation of surgeons
Donald E Fry
Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
J Am Coll Surg 210:325-30. 2010
..Concerns persist that double-gloving can compromise the dexterity and tactile sensitivity of the surgeon...
- Colon preparation and surgical site infection
Donald E Fry
Department of Surgery, Northwestern University, Feinberg School of Medicine, Chicago, IL, USA
Am J Surg 202:225-32. 2011
..Colon preparation for elective colon resection to reduce surgical site infection (SSI) remains controversial...
- Surgical warranties to improve quality and efficiency in elective colon surgery
Donald E Fry
Michael Pine and Associates, 5020 S Lake Shore Drive, Chicago, IL 60615, USA
Arch Surg 145:647-52. 2010
..Uncomplicated surgical care has highly variable costs. High costs of complications have led payers to deny additional payments even for predictable complications...
- Comparative effectiveness and efficiency in peripheral vascular surgery
Donald E Fry
Michael Pine and Associates, Chicago, IL 60615, USA
Am J Surg 201:363-7; discussion 367-8. 2011
..Elective peripheral vascular surgery provides quality outcomes that are of great benefit to patients, but have complications that result in severe morbidity and excessive costs...
- The impact of ineffective and inefficient care on the excess costs of elective surgical procedures
Donald E Fry
Michael Pine and Associates, Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
J Am Coll Surg 212:779-86. 2011
..The identification of cost-effective hospitals permits objective measurement of excessive surgical costs and development of strategies to improve outcomes and efficiency...
- Modifying ICD-9-CM coding of secondary diagnoses to improve risk-adjustment of inpatient mortality rates
Michael Pine
Michael Pine and Associates, Inc, 1210 Chicago Avenue, Evanston, IL 60202, USA
Med Decis Making 29:69-81. 2009
..Data Sources. Claims and abstracted clinical data on patients hospitalized for 5 medical conditions and 3 surgical procedures at 188 Pennsylvania hospitals from July 2000 through June 2003...
- Combining administrative and clinical data to stratify surgical risk
Donald E Fry
Michael Pine and Associates, Inc, Chicago, Illinois 60615, USA
Ann Surg 246:875-85. 2007
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- Adverse outcomes in surgery: redefinition of postoperative complications
Donald E Fry
Michael Pine and Associates, Chicago, IL 60615, USA
Am J Surg 197:479-84. 2009
..We propose that excess risk-adjusted, postoperative length of stay (poLOS) is a valid indicator of an adverse outcome...
- Enhancement of claims data to improve risk adjustment of hospital mortality
Michael Pine
Michael Pine and Associates Inc, Chicago, Ill, USA
JAMA 297:71-6. 2007
..Risk-adjustment equations used in these analyses must contain sufficient clinical detail to ensure accurate measurements of hospital quality...
- Inefficiency as the major driver of excess costs in lung resection
Donald E Fry
Michael Pine and Associates, Chicago, III Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, III Department of Surgery, University of New Mexico School of Medicine, Albuquerque, NM
J Thorac Cardiovasc Surg 142:1418-22. 2011
..Risk-adjusted outcomes of surgical care are important for quality and cost assessments. Although cardiac surgery is commonly studied, risk-adjusted analysis of excess costs of lung resection has not been pursued...
- Safety of drotrecogin alfa (activated) in surgical patients with severe sepsis
Donald E Fry
Department of Surgery, University of New Mexico, Albuquerque, New Mexico, USA
Surg Infect (Larchmt) 5:253-9. 2004
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- Is there a role for bowel preparation and oral or parenteral antibiotics in infection control in contemporary colon surgery?
Susan Galandiuk
Section of Colon and Rectal Surgery, Department of Surgery, University of Louisville, Louisville, KY 40292, USA
Adv Surg 45:131-40. 2011
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- Surgical site infections and the surgical care improvement project (SCIP): evolution of national quality measures
Donald E Fry
Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA
Surg Infect (Larchmt) 9:579-84. 2008
..Surgical site infection (SSI) continues to be a common if often times preventable infection. Considerable patient morbidity and economic cost are the consequences...
- Controlling costs without compromising quality: paying hospitals for total knee replacement
Michael Pine
Michael Pine and Associates, Chicago, IL 60615, USA
Med Care 48:862-8. 2010
..An alternative payment structure, especially for high volume, high cost episodes of care (eg, total knee replacement), is needed to reward high quality care and reduce costs...
- Virtual partnerships: aligning hospital and surgeon incentives
Donald E Fry
Michael Pine and Associates, 5020 S Lake Shore Drive, Chicago, IL 60615, USA
Am J Surg 200:105-10. 2010
..A fundamental reorganization will be required if care is to be broadened and sensible economies achieved...
- Current risks of occupational blood-borne viral infection
Arash Mohebati
Department of Surgery, University of Medicine and Dentistry of New Jersey, Newark, New Jersey, USA
Surg Infect (Larchmt) 11:325-31. 2010
..In the past, this concern attracted great attention, but recently, this subject has been given much less attention...
- The truth is in the dialogue. Surgical Infection Society--Europe Semmelweis Lecture
Donald E Fry
Department of Surgery, University of New Mexico School of Medicine, Albuquerque, New Mexico 87131, USA
Surg Infect (Larchmt) 6:19-25. 2005
- Occupational risks of blood exposure in the operating room
Donald E Fry
Department of Surgery, University of New Mexico School of Medicine, Albuquerque, New Mexico, USA
Am Surg 73:637-46. 2007
..It is likely that other infectious agents will emerge as operating room threats. Surgeons must maintain vigilance in avoiding blood exposure and percutaneous injury...
- Occupational blood-borne diseases in surgery
Donald E Fry
Department of Surgery, 1 University of New Mexico, Albuquerque, NM 87131, USA
Am J Surg 190:249-54. 2005
..The actual risk and frequency of operating room transmission remains poorly understood by many surgeons...
- Preventive systemic antibiotics in colorectal surgery
Donald E Fry
Department of Surgery, University of New Mexico School of Medicine, Albuquerque, New Mexico, USA
Surg Infect (Larchmt) 9:547-52. 2008
..The evolution of strategies for the prevention of SSI has had the correct use of preventive antibiotics as a crucial component...
- Healthcare in the future era of dynamic change
Donald E Fry
Department of Surgery, University of New Mexico School of Medicine, Albuquerque, USA
J La State Med Soc 155:203-5. 2003
- Linking processes and outcomes to improve surgical performance: a new approach to morbidity and mortality peer review
Michael Pine
Michael Pine and Associates, Inc. Chicago, Illinois 60615, USA
Am Surg 72:1115-9; discussion 1126-48. 2006
..A simulated scenario is analyzed in detail to illustrate the ability of this technique to correctly determine best practices when other approaches fail to do so...
- Mortality after elective colon resection: the search for outcomes that define quality in surgical practice
Adrian T Billeter
Price Institute of Surgical Research, Department of Surgery, School of Medicine, University of Louisville, Louisville, KY 40292, USA
J Am Coll Surg 214:436-43; discussion 443-4. 2012
..Wide ranges of reported hospital death rates led us to hypothesize that survival after elective colon resection would be a legitimate outcomes measure for quality of surgical practice...
- Surgical site infection: the host factor
Donald E Fry
Michael Pine and Associates, Chicago, IL, USA
AORN J 86:801-10; quiz 811-4. 2007
..Perioperative nurses play an important role as the patient's infection control advocate...
- Governors' committee deals with range of risks
Donald E Fry
Department of Surgery, University of New Mexico, USA
Bull Am Coll Surg 87:25-8. 2002
- The hazards of using administrative data to measure surgical quality
Donald E Fry
Michael Pine and Associates, Chicago, Illinois 60615, USA
Am Surg 72:1031-7; discussion 1061-9, 1133-48. 2006
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- The economic costs of surgical site infection
Donald E Fry
Department of Surgery, University of New Mexico School of Medicine, Albuquerque, New Mexico, USA
Surg Infect (Larchmt) 3:S37-43. 2002
..This review was undertaken to bring into focus the relevant literature regarding the costs associated with SSI...
- Blood culturing practices in a trauma intensive care unit: does concurrent antibiotic use make a difference?
Carol R Schermer
Department of Surgery, University of New Mexico Health Sciences Center, Albuquerque, New Mexico 87131, USA
J Trauma 52:463-8. 2002
..The hypotheses of the study were that concurrent antimicrobial administration affects blood culture yield, prophylactic administration alters the culture result, and repetitive culturing is unnecessary...
- Commentary: the case for expanding general surgery residencies
John C Russell
Department of Surgery, University of New Mexico, Albuquerque, New Mexico 87131 0001, USA
Acad Med 85:749-51. 2010
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