4 results match your criteria: "Center for Healthcare Outcomes and Policy. Electronic address: dtelem@med.umich.edu.[Affiliation]"
Examining Interpreter Services to Better Characterize Areas for Quality Improvement.
J Surg Res
December 2024
University of Michigan, Department of Surgery; University of Michigan, Center for Healthcare Outcomes and Policy. Electronic address:
Introduction: Medical providers utilize professional medical interpreters (PMIs) daily. Despite this, the challenges PMIs may experience when translating surgical care has not been well explored. Limited English-language proficiency (LEP) patients depend on PMIs for accurate understanding of their care and the lack of quality control can further disenfranchise an already vulnerable population.
View Article and Find Full Text PDFApplication of Component Separation and Short-Term Outcomes in Ventral Hernia Repairs.
J Surg Res
February 2023
Department of Surgery, University of Michigan, Ann Arbor, Michigan; Center for Healthcare Outcomes and Policy, University of Michigan, Ann Arbor, Michigan; Michigan Surgical Quality Collaborative, Ann Arbor, Michigan; Division of Minimally Invasive Surgery, Department of Surgery, Ann Arbor, Michigan. Electronic address:
Article Synopsis
- Component separation (CS) techniques in ventral hernia repair (VHR) have evolved, but their application based on patient and hernia-specific factors is not well understood, prompting this study to explore these variations and their impact on patient care.
- The research analyzed data from a statewide hernia registry, focusing on 1,319 patients who underwent VHR, comparing outcomes between those who had CS and those who did not, particularly looking at adverse events within 30 days post-surgery.
- Results revealed that the use of CS was relatively low (11%), primarily favoring posterior component separation (73%), and was associated with larger hernia sizes; however, a significant percentage of CS procedures were done on smaller hernias,
Leveraging a statewide quality collaborative to understand population-level hernia care.
Am J Surg
November 2021
Department of Surgery, University of Michigan, Ann Arbor, MI, USA; Division of Minimally Invasive Surgery, Department of Surgery, Ann Arbor, MI, USA. Electronic address:
Background: Although ventral hernia repair (VHR) is extremely common, there is profound variation in operative technique and outcomes. This study describes the results of a statewide registry capturing hernia-specific variables to understand population-level practice patterns.
Methods: Retrospective analysis of adult patients in a new statewide hernia registry undergoing VHR in 2020.
Hospital and surgeon variation in 30-day complication rates after ventral hernia repair.
Am J Surg
August 2021
Department of Surgery, Michigan Medicine, Ann Arbor, MI, USA; Center for Healthcare Outcomes & Policy, Ann Arbor, MI, USA; Division of Minimally Invasive Surgery, Department of Surgery, Michigan Medicine, Ann Arbor, MI, USA. Electronic address:
Background: Ventral hernia repair is an extremely common operation, however the variability in patient outcomes between individual hospitals and surgeons is unclear. We analyzed variability in 30-day complication rates and identified specific complications that contributed to this variability.
Methods: Retrospective, cross-sectional analysis of 30-day complication rates following ventral hernia repair across 73 hospital and 978 surgeons between January 1, 2014 and December 31, 2018.