Publications by authors named "N J Hogle"
In a retrospective study conducted over 12 months in a multi-hospital system, the incidence of bloodstream infections associated with midline catheters was not significantly lower than that associated with central venous catheters (0.88 vs 1.10 infections per 1,000 catheter-days).
View Article and Find Full Text PDFBackground: Surgical site infection (SSI) after cardiac surgery (CS) is a serious complication that increases hospital length of stay (LOS), has a substantial financial impact, and increases mortality. The study described here was done to evaluate the effect of a program to reduce SSI after CS.
Methods: In January 2007, a multi-disciplinary CS infection-prevention team developed guidelines and implemented bundled tactics for reducing SSI.
Background: The acquisition of technical skills is one of the fundamental goals of postgraduate surgical training; however, validation and utilization of objective tools to assess the technical skills of trainees remains elusive. The objectives of this project are to develop models to identify predictive factors for fellow performance, validate the Global Operative Assessment of Laparoscopic Skills (GOALS) as an assessment tool for laparoscopic skills, and to define the learning curve for complex laparoscopic gastrointestinal surgery.
Methods: Using previously recorded data from a centralized database of the Fellowship Council, we analyzed the voluntarily submitted performance scores of surgical fellows for three complex laparoscopic gastrointestinal operations: Roux-en-Y gastric bypass, LapBand placement, and Nissen fundoplication.
Article Synopsis
- The Fellowship Council (FC) was established in 2004 to provide oversight for rapidly developing laparoscopic surgery fellowships, which previously lacked regulation.
- The authors reviewed council meeting minutes from 2001 to 2012 to document the FC's history and current impact on surgical training.
- The FC has improved the fellowship application process, now handling applications from over 30% of general surgery chief residents and accrediting 223 positions across various surgical disciplines.
Background And Objectives: Our aim was to determine whether the SimPraxis Laparoscopic Cholecystectomy Trainer is an effective adjunct for training both junior and senior surgical residents.
Methods: During the 2009-2010 academic year, 20 of 27 surgical residents at our institution completed training with the SimPraxis Laparoscopic Cholecystectomy Trainer. These 20 residents took an identical 25-question pre- and posttest prepared in-house by a senior laparoscopic surgeon, based on the SimPraxis Laparoscopic Cholecystectomy program content.