hospital surgery department


Summary: Hospital department which administers all departmental functions and the provision of surgical diagnostic and therapeutic services.

Top Publications

  1. Lavy C, Tindall A, Steinlechner C, Mkandawire N, Chimangeni S. Surgery in Malawi - a national survey of activity in rural and urban hospitals. Ann R Coll Surg Engl. 2007;89:722-4 pubmed
    ..8% of all births, compared to 22% in the UK. Very few major general surgical or orthopaedic procedures are carried out in district hospitals. This study underlines Malawi's need for more surgeons to be trained and retained. ..
  2. Nordberg E, Mwobobia I, Muniu E. Major and minor surgery output at district level in Kenya: review and issues in need of further research. Afr J Health Sci. 2002;9:17-25 pubmed
  3. Birkmeyer J, Finlayson E, Birkmeyer C. Volume standards for high-risk surgical procedures: potential benefits of the Leapfrog initiative. Surgery. 2001;130:415-22 pubmed
    ..If the Leapfrog volume standards are successfully implemented, employers and health-care purchasers could prevent many surgical deaths by requiring hospital volume standards for high-risk procedures. ..
  4. Birkmeyer J, Siewers A, Marth N, Goodman D. Regionalization of high-risk surgery and implications for patient travel times. JAMA. 2003;290:2703-8 pubmed
    ..If not set too high, hospital volume standards could be implemented for selected operations without imposing unreasonable travel burdens on patients. ..
  5. Shahian D. Improving cardiac surgery quality--volume, outcome, process?. JAMA. 2004;291:246-8 pubmed
  6. Urbach D, Baxter N. Does it matter what a hospital is "high volume" for? Specificity of hospital volume-outcome associations for surgical procedures: analysis of administrative data. BMJ. 2004;328:737-40 pubmed
    ..76, 0.44 to 1.32). The inverse association between high volume of procedure and risk of operative death is not specific to the volume of the procedure being studied. ..
  7. Axelrod D, Guidinger M, McCullough K, Leichtman A, Punch J, Merion R. Association of center volume with outcome after liver and kidney transplantation. Am J Transplant. 2004;4:920-7 pubmed
    ..30; p = 0.0036). There is considerable variability in the range of failure between quantiles after kidney and liver transplant. Transplant outcomes are better at high volume centers; however, there is no clear minimal threshold volume. ..
  8. Birkmeyer J, Dimick J. Potential benefits of the new Leapfrog standards: effect of process and outcomes measures. Surgery. 2004;135:569-75 pubmed
    ..For some procedures, standards comprised of process of care or direct outcome measures would be more effective than those based on volume alone. ..
  9. Wu C, Hannan E, Ryan T, Bennett E, Culliford A, Gold J, et al. Is the impact of hospital and surgeon volumes on the in-hospital mortality rate for coronary artery bypass graft surgery limited to patients at high risk?. Circulation. 2004;110:784-9 pubmed
    ..52 for the low-risk group. For both low-risk and moderate-to-high-risk patients, higher provider volume is associated with lower risk of death. ..

More Information


  1. Metzger R, Bollschweiler E, Vallbohmer D, Maish M, Demeester T, Holscher A. High volume centers for esophagectomy: what is the number needed to achieve low postoperative mortality?. Dis Esophagus. 2004;17:310-4 pubmed
    ..9%, be achieved. Based on this survey, surgery of esophageal cancer is a task for high-volume hospitals because of decreased postoperative mortality and improved long-term prognosis compared with low volume hospitals. ..
  2. Begg C, Cramer L, Hoskins W, Brennan M. Impact of hospital volume on operative mortality for major cancer surgery. JAMA. 1998;280:1747-51 pubmed
    ..These data support the hypothesis that when complex surgical oncologic procedures are provided by surgical teams in hospitals with specialty expertise, mortality rates are lower. ..
  3. Nabembezi J, Nordberg E. Surgical output in Kibaale district, Uganda. East Afr Med J. 2001;78:379-81 pubmed
    ..Output per 100,000 estimated catchment area population is useful in relating output to need. These indicators are recommended to be incorporated in district and hospital performance reviews and in annual reports. ..
  4. Peterson E, Coombs L, DeLong E, Haan C, Ferguson T. Procedural volume as a marker of quality for CABG surgery. JAMA. 2004;291:195-201 pubmed
    ..In contemporary practice, hospital procedural volume is only modestly associated with CABG outcomes and therefore may not be an adequate quality metric for CABG surgery. ..
  5. Gosselin R, Thind A, Bellardinelli A. Cost/DALY averted in a small hospital in Sierra Leone: what is the relative contribution of different services?. World J Surg. 2006;30:505-11 pubmed
    ..However, these results are highly context-specific, and more research is needed from developing countries to further refine the methodology and analysis. ..
  6. Arenas Márquez H, Anaya Prado R. [Errors in surgery. Strategies to improve surgical safety]. Cir Cir. 2008;76:355-61 pubmed
    ..In this review, we analyze the causes of complications and errors that can develop during routine surgery. Additionally, we propose measures that will allow improvements in the safety of surgical patients. ..
  7. Warren D, Guth R, Coopersmith C, Merz L, Zack J, Fraser V. Impact of a methicillin-resistant Staphylococcus aureus active surveillance program on contact precaution utilization in a surgical intensive care unit. Crit Care Med. 2007;35:430-4 pubmed
    ..Despite an increasing prevalence of MRSA on admission to the ICU, the acquisition rate has remained constant. ..
  8. Mazzocco K, Petitti D, Fong K, Bonacum D, Brookey J, Graham S, et al. Surgical team behaviors and patient outcomes. Am J Surg. 2009;197:678-85 pubmed publisher
    ..82; 95% confidence interval, 1.30-17.87). When teams exhibited infrequent team behaviors, patients were more likely to experience death or major complication. ..
  9. Peto Z, Benko R, Matuz M, Csullog E, Molnar A, Hajdu E. Results of a local antibiotic management program on antibiotic use in a tertiary intensive care unit in Hungary. Infection. 2008;36:560-4 pubmed publisher
  10. Kondo A, Zierler B, Isokawa Y, Hagino H, Ito Y. Comparison of outcomes and costs after hip fracture surgery in three hospitals that have different care systems in Japan. Health Policy. 2009;91:204-10 pubmed publisher
    ..Reducing the length of stay in the initial acute care hospitals could be just a method of cost-shifting to subsequent care services and is unlikely to bring an overall cost-savings to the Japanese health care system. ..
  11. Samuels J, Fetzer S. Evidence-based pain management: analyzing the practice environment and clinical expertise. Clin Nurse Spec. 2009;23:245-51 pubmed publisher
    ..Expertise may impact the implementation of evidence especially in areas where practice patterns are well established. Adapting implementation strategies to target expertise levels are warranted. ..
  12. Biluts H, Bekele A, Kottiso B, Enqueselassie F, Munie T. In-patient surgical mortality in Tikur Anbessa Hospital: a five-year review. Ethiop Med J. 2009;47:135-42 pubmed
    ..5% is acceptable, it could have been reduced significantly had there been appropriate setting to manage trauma cases. Trauma and Neurosurgical cares are yet to develop and need special attention. ..
  13. Zervos E, Osborne D, Agle S, McNally M, Boe B, Rosemurgy A. Impact of hospital and surgeon volumes in the management of complicated portal hypertension: review of a statewide database in Florida. Am Surg. 2010;76:263-9 pubmed
    ..0 days vs. 15 days +/- 12.6 days, P < 0.001). Surgical procedures for complicated portal hypertension are rapidly being replaced by TIPS. Like with other complex procedures, outcomes are related to hospital volume. ..
  14. Bishop M, Souders J, Peterson C, Henderson W, Domino K. Factors associated with unanticipated day of surgery deaths in Department of Veterans Affairs hospitals. Anesth Analg. 2008;107:1924-35 pubmed publisher
    ..We conclude that, although patient and surgical factors lead to the vast majority of deaths on the day of surgery, there are identifiable areas for reducing the incidence of such deaths by improvements in anesthesia care. ..
  15. Tebé Cordomí C, Almazán Sáez C, Espallargues Carreras M, Sánchez Ruíz E, Mv Pons J, Pla Farnós R. [Development of a structural capacity index for oncological surgery in acute hospitals]. Cir Esp. 2010;87:89-94 pubmed publisher
    ..The index has acceptable levels of reliability and validity, and can be a useful tool to classify hospitals according to their technological characteristics and management strategies. ..
  16. Wood L, Buczkowski A, Panton O, Sidhu R, Hameed S. Effects of implementation of an urgent surgical care service on subspecialty general surgery training. Can J Surg. 2010;53:119-25 pubmed
    ..Compliance with the readjustment of on-call duties was high and was identified as the single most significant factor in enabling residents to take full advantage of the unique educational opportunities available only while on SUBS. ..
  17. Lindegaard B, Qvist P. [The case manager--from words to deeds?]. Ugeskr Laeger. 2010;172:1197-200 pubmed
    ..There seems to be a need for a targeted effort to improve the conditions for case managers in Danish hospitals in order to meet the intentions of this initiative. ..
  18. Harvie P, Chesser T, Ward A. The Bristol regional pelvic and acetabular fracture service: workload implications of managing the polytraumatised patient. Injury. 2008;39:839-43 pubmed publisher
    ..This information informs health care purchasers of the real extent of the surgical and other services needed and the resources required to treat patients with unstable pelvic and acetabular injuries. ..
  19. Braun K, Braun V, Brookman Amissah S, May M, Ptok H, Lippert H, et al. [Treatment of rectal carcinoma: satisfaction of general practitioners with surgical clinics]. Chirurg. 2009;80:1147-51 pubmed publisher
    ..The main point of criticism was the timely receipt of the epicrisis. The surgical expertise regarding the treatment of rectal carcinoma was assessed as the main quality parameter of the hospital. ..
  20. . Edward E. Cornwell III, MD, FACS, FCCM. J Natl Med Assoc. 2008;100:357-8 pubmed
    ..In 2005, the Howard University Press published his memoirs entitled, No Boundaries-A Cancer Surgeon's Odyssey. ..
  21. Bartos G, Markovics G, Várföldi T, Buzáné Kis P. [Postoperative wound healing disorders]. Orv Hetil. 2009;150:209-15 pubmed publisher
    ..Finally they refer to their guessing, whereby, in an adequate context, the rates of wound healing disorders could be perhaps new indicators in surgical quality assurance. ..
  22. Doty B, Andres M, Zuckerman R, Borgstrom D. Use of locum tenens surgeons to provide surgical care in small rural hospitals. World J Surg. 2009;33:228-32 pubmed publisher
    ..Other means for delivering surgical services at rural hospitals that cannot recruit or retain a surgeon should be explored to ensure that rural residents have access to high quality surgical care. ..
  23. Lemaire A, Cook C, Tackett S, Mendes D, Shortell C. The impact of race and insurance type on the outcome of endovascular abdominal aortic aneurysm (AAA) repair. J Vasc Surg. 2008;47:1172-80 pubmed publisher
    ..Subsequent studies that break down emergent repair vs elective surgery and that longitudinally stratify delay in surgery, or time to admission may be useful. ..
  24. Mihaljević L, Bedenic B, Mihaljević S, Majerovic M, Petrović P, Vasilj I. Microbiological surveillance of the surgical intensive care unit in Zagreb--a pivot for guideline-based therapy of severe sepsis. Coll Antropol. 2007;31:1093-7 pubmed
    ..A. baumannii, third predominant causative agent, exhibited excellent susceptibility to ampicillin+ sulbactam and carbapenems. The recommended therapy is empirical and should cover all important pathogens. ..
  25. Michaels R, Makary M, Dahab Y, Frassica F, Heitmiller E, Rowen L, et al. Achieving the National Quality Forum's "Never Events": prevention of wrong site, wrong procedure, and wrong patient operations. Ann Surg. 2007;245:526-32 pubmed
    ..We have outlined a framework of measures that healthcare organizations can use to start evaluating whether they have reduced adverse events in operations. ..
  26. Hierholzer E. [The future of general surgery in surgical practice]. Chirurg. 2006;Suppl:278-9 pubmed
  27. Rotondo M. At the center of the "perfect storm": the patient. Surgery. 2007;141:291-2 pubmed
  28. Phillips P, Golagani A, Malik A, Payne F. A staff questionnaire study of MRSA infection on ENT and general surgical wards. Eur Arch Otorhinolaryngol. 2010;267:1455-9 pubmed publisher
    ..The difference between colonization and infection is not well understood. Reasons for this may include the relative rarity of MRSA cases on ENT wards. ..
  29. Johnson A, Roach C, Jolissaint D. The orthopedic specialty care management team: the McDonald Army Health Center experience. Mil Med. 2009;174:745-9 pubmed
    ..1% or 6.9 days. The total cost savings is an estimated $373,766. The program, as modeled, increased access to care for the war-injured soldiers without negatively impacting the usual business practices of the service. ..
  30. Castaldi S, Lesmo A, Marenghi M, Auxilia F. [Evaluation of preoperative activity in a research and teaching hospital]. Ann Ig. 2006;18:327-35 pubmed
    ..The evaluation wants to improve the level of quality of this structure in order to better identify the anesthesiological patient risk, the diagnostic protocols and the coordination with all the ancillary services in the hospital. ..
  31. Girotto J, Koltz P, Drugas G. Optimizing your operating room: or, why large, traditional hospitals don't work. Int J Surg. 2010;8:359-67 pubmed publisher
    ..e. per 8 h day; per fiscal year) by re-engineering the processes of operative patient care. In the end, the ultimate goal of safe and high-quality patient care must not be compromised. ..
  32. Chanques G, Sebbane M, Barbotte E, Viel E, Eledjam J, Jaber S. A prospective study of pain at rest: incidence and characteristics of an unrecognized symptom in surgical and trauma versus medical intensive care unit patients. Anesthesiology. 2007;107:858-60 pubmed
  33. Erasmus V, Kuperus M, Richardus J, Vos M, Oenema A, Van Beeck E. Improving hand hygiene behaviour of nurses using action planning: a pilot study in the intensive care unit and surgical ward. J Hosp Infect. 2010;76:161-4 pubmed publisher
    ..Action planning has shown success in closing the intention-behaviour gap in other fields, and its use for improving HHB in healthcare should be further investigated. ..
  34. Pronovost P. Interventions to decrease catheter-related bloodstream infections in the ICU: the Keystone Intensive Care Unit Project. Am J Infect Control. 2008;36:S171.e1-5 pubmed publisher
  35. Landis K, Loar C. Project New Hope: volunteers caring for children in need. AORN J. 2007;86:769-79 pubmed
    ..Structured, free-surgery programs can be set up in other health care facilities using guidelines outlined in this article. ..
  36. Martin M, Earle K. Does a surgeon as first assistant reduce the incidence of common bile duct injuries during laparoscopic cholecystectomy?. Am Surg. 2010;76:287-91 pubmed
    ..Only 27 per cent of those 762 cases had intraoperative cholangiograms. This single-practice general surgery experience supports the use of a surgeon as first assistant to lower the incidence of CBD injures. ..
  37. Kelley S, Welling R. Good Samaritan Hospital and its department of surgery: a historical perspective. Am Surg. 2010;76:470-3 pubmed
  38. Laukontaus S, Aho P, Pettila V, Albäck A, Kantonen I, Railo M, et al. Decrease of mortality of ruptured abdominal aortic aneurysm after centralization and in-hospital quality improvement of vascular service. Ann Vasc Surg. 2007;21:580-5 pubmed
  39. Dorobăţ O, Moisoiu A, Tălăpan D. [Incidence and resistance patterns of pathogens from lower respiratory tract infections (LRTI)]. Pneumologia. 2007;56:7-15 pubmed
    ..0% to SXT, 18.8% to E, 8.3% to C and all strains were susceptible to levofloxacin. K. pneumoniae strains were resistant to cefepime (11.3%), CIP (7.8%) and there was no resistant strain to IPM and MEM. ..
  40. Lee E. Analysis of Nursing Interventions Classification (NIC) performed in the medical-surgical unit. Stud Health Technol Inform. 2006;122:715-7 pubmed
  41. Yasunaga H, Matsuyama Y, Ohe K. Effects of hospital and surgeon volumes on operating times, postoperative complications, and length of stay following laparoscopic colectomy. Surg Today. 2009;39:955-61 pubmed publisher
    ..Our analysis of data related to laparoscopic colectomy revealed that surgeons' experience was associated with faster surgery, but not necessarily with reduced operative morbidity. ..
  42. de Gara C, Nyström P, Hamilton S, Wirtzfeld D, Taylor B. Canadian Association of University Surgeons annual symposium: Continuity of care: Toronto, Ontario, Sep. 6, 2007. Can J Surg. 2009;52:500-5 pubmed
    ..Dr. Debrah Wirtzfeld underscored the importance of trainee lifestyle and how modern Web-based technologies can ensure reduced errors with the implementation of a "sign-out" system. ..
  43. Whinney C, Michota F. Surgical comanagement: a natural evolution of hospitalist practice. J Hosp Med. 2008;3:394-7 pubmed publisher
  44. Hornung H, Jauch K, Strauss T, Swoboda W. [Economic consequences of complications in abdominal and thoracic surgery in the German DRG payment system]. Zentralbl Chir. 2010;135:143-8 pubmed publisher
    ..They are considerably overlapping cases with excessive underfunding, so further analysis might lead to an improved reimbursement policy. In addition, the connection between quality management and economic efficiency is highlighted. ..
  45. McCulloch P, Kreckler S, New S, Sheena Y, Handa A, Catchpole K. Effect of a "Lean" intervention to improve safety processes and outcomes on a surgical emergency unit. BMJ. 2010;341:c5469 pubmed publisher
    ..Given the interconnected nature of hospital care, this strategy might not translate into improvements in safety outcomes unless a system-wide approach is adopted to remove barriers to change. ..
  46. Brattheim B. Inter-institutional care process: scenarios to capture demands for workflow support. Stud Health Technol Inform. 2009;150:414 pubmed
    ..Care processes across hospitals challenge healthcare information systems. Shared care scenarios ensure the insight from different perspectives on detailed demands for workflow support in a changing clinical practice. ..
  47. Seim A, Fagerhaug T, Ryen S, Curran P, Saether O, Myhre H, et al. Causes of cancellations on the day of surgery at two major university hospitals. Surg Innov. 2009;16:173-80 pubmed publisher
    ..52% of all cases between May 1, 2003, and April 30, 2004. Administrative data may give a rough picture of causes of cancellations. However, most findings at either of the hospitals do not translate easily to the other. ..
  48. Tepehan S, Ozkara E, Yavuz M. Attitudes to euthanasia in ICUs and other hospital departments. Nurs Ethics. 2009;16:319-27 pubmed publisher
    ..Euthanasia should be investigated and put on the agenda for discussion in Turkey. ..
  49. Stiven P, Frampton C, Lewis D. Use of autopsy in general surgery: a comparison of practice and opinion. ANZ J Surg. 2007;77:722-6 pubmed
    ..The continued decline in autopsy rates may compromise the safety and quality of the service provided by general surgeons and result in a gap in the education of surgeons and trainees. ..
  50. Tourmousoglou C, Yiannakopoulou E, Kalapothaki V, Bramis J, St Papadopoulos J. Adherence to guidelines for antibiotic prophylaxis in general surgery: a critical appraisal. J Antimicrob Chemother. 2008;61:214-8 pubmed
    ..The duration of antibiotic prophylaxis was the main parameter of interest. Interventions have to be made about the development, distribution and adoption of adequate guidelines in collaboration with surgeons. ..
  51. Polese L, Angriman I, Bonello E, Erroi F, Scarpa M, Frego M, et al. Endoscopic dilation of benign esophageal strictures in a surgical unit: a report on 95 cases. Surg Laparosc Endosc Percutan Tech. 2007;17:477-81 pubmed
    ..Improvement of dysphagia, the number of sessions, and recurrence were significantly better in the patients with postsurgical stenosis as compared with those affected by caustic, peptic, and radiation-induced strictures. ..
  52. Cofer J. Project access: giving back at home. Bull Am Coll Surg. 2008;93:13-7 pubmed
  53. Goodyear P, Anderson A, Kelly G. How informed is consent in a modern ENT department. Eur Arch Otorhinolaryngol. 2008;265:957-61 pubmed publisher
    ..In the current medical climate, this has serious ethical and medico-legal ramifications. It may also reflect a problem with the form and a need for a re-think of its design. ..