Publications by authors named "Monica Zipple"

Background: We sought to evaluate change in postoperative prescription practices in an independent community-based hospital after hospital interventions and a state legislation change.

Study Design: This is a retrospective review of opioid-naïve adult subjects who underwent 5 common general surgical procedures between 2015 and 2017, including cholecystectomy, appendectomy, minimally invasive inguinal hernia repair, open inguinal hernia repair, and breast lumpectomy. Educational interventions were introduced, new statewide legislation was passed, and 129 subsequent cases were reviewed.

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Background: We reviewed rates of adherence to the American College of Chest Physicians guidelines for venous thromboembolism prophylaxis in abdominal and pelvic oncologic surgery at our community hospital compared with rates statewide.

Methods: We completed a retrospective review of adult patients undergoing abdominal or pelvic oncologic surgery from January 1, 2015 to December 31, 2016, compared with statewide data from the Michigan Surgical Quality Collaborative during the same period. Educational intervention included creation of hospital guidelines and presentations reviewing American College of Chest Physicians guidelines and hospital adherence rates.

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Context: Gallstone disease is a major health problem addressed by general surgeons, with approximate incidence of 10-15% in the Western world. With increasing focus in the healthcare literature on cost containment, controlling excess lengths of hospital stay (LOS) in this population is paramount. The aim of this study was to determine the factors that influence LOS in cholecystectomy patients to examine whether results would indicate a possible improvement in perioperative patient care and decrease costs at our community hospital in a suburban setting.

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Synopsis of recent research by authors named "Monica Zipple"

  • - Monica Zipple's research primarily focuses on surgical practices and patient care, highlighting issues such as gender bias in surgery, postoperative opioid prescribing, and adherence to clinical guidelines in surgical settings.
  • - Her findings indicate a significant unconscious bias against female surgeons among surgical patients, and emphasize the need for educational interventions to address this bias within healthcare.
  • - Additionally, her studies demonstrate the effectiveness of hospital interventions and state legislation in optimizing postoperative care, particularly in opioid prescribing and venous thromboembolism prophylaxis, ultimately aiming to enhance patient outcomes and reduce healthcare costs.

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