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Article ; Online: Increased perioperative morbidity and mortality following oesophagectomy in older patients: Time for a patient-centered conversation.

Bass, Gary A / Walsh, Thomas N

European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology

2021 Volume 47, Issue 10, Page(s) 2690–2691

MeSH term(s)	Aged ; Chemoradiotherapy ; Esophageal Neoplasms/surgery ; Esophagectomy ; Humans ; Morbidity ; Patient-Centered Care
Language	English
Publishing date	2021-05-24
Publishing country	England
Document type	Letter ; Comment
ZDB-ID	632519-1
ISSN	1532-2157 ; 0748-7983
ISSN (online)	1532-2157
ISSN	0748-7983
DOI	10.1016/j.ejso.2021.05.031
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Article ; Online: Negative Press for Intraoperative Provocative Testing in Bariatric Surgery-Blown Out of Proportion?

Bass, Gary A / Heneghan, Helen M

Journal of the American College of Surgeons

2018 Volume 227, Issue 4, Page(s) 475

MeSH term(s)	Bariatric Surgery ; Humans ; Obesity, Morbid ; Risk Factors
Language	English
Publishing date	2018-09-27
Publishing country	United States
Document type	Letter ; Comment
ZDB-ID	1181115-8
ISSN	1879-1190 ; 1072-7515
ISSN (online)	1879-1190
ISSN	1072-7515
DOI	10.1016/j.jamcollsurg.2018.07.002
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Article ; Online: Patients over 65 years with Acute Complicated Calculous Biliary Disease are Treated Differently-Results and Insights from the ESTES Snapshot Audit.

Bass, Gary A / Gillis, Amy E / Cao, Yang / Mohseni, Shahin

World journal of surgery

2021 Volume 45, Issue 7, Page(s) 2046–2055

Abstract: Background: Accrued comorbidities are perceived to increase operative risk. Surgeons may offer operative treatments less often to their older patients with acute complicated calculous biliary disease (ACCBD). We set out to capture ACCBD incidence in ... ...

Abstract	Background: Accrued comorbidities are perceived to increase operative risk. Surgeons may offer operative treatments less often to their older patients with acute complicated calculous biliary disease (ACCBD). We set out to capture ACCBD incidence in older patients across Europe and the currently used treatment algorithms. Methods: The European Society of Trauma and Emergency Surgery (ESTES) undertook a snapshot audit of patients undergoing emergency hospital admission for ACCBD between October 1 and 31 2018, comparing patients under and ≥ 65 years. Mortality, postoperative complications, time to operative intervention, post-acute disposition, and length of hospital stay (LOS) were compared between groups. Within the ≥ 65 cohort, comorbidity burden, mortality, LOS, and disposition outcomes were further compared between patients undergoing operative and non-operative management. Results: The median age of the 338 admitted patients was 67 years; 185 patients (54.7%) of these were the age of 65 or over. Significantly fewer patients ≥ 65 underwent surgical treatment (37.8% vs. 64.7%, p < 0.001). Surgical complications were more frequent in the ≥ 65 cohort than younger patients, and the mean postoperative LOS was significantly longer. Postoperative mortality was seen in 2.2% of patients ≥ 65 (vs. 0.7%, p = 0.253). However, operated elderly patients did not differ from non-operated in terms of comorbidity burden, mortality, LOS, or post-discharge rehabilitation need. Conclusions: Few elderly patients receive surgical treatment for ACCBD. Expectedly, postoperative morbidity, LOS, and the requirement for post-discharge rehabilitation are higher in the elderly than younger patients but do not differ from elderly patients managed non-operatively. With multidisciplinary perioperative optimization, elderly patients may be safely offered optimal treatment. Trial registration: ClinicalTrials.gov (Trial # NCT03610308).
MeSH term(s)	Aftercare ; Aged ; Europe ; Gallstones/therapy ; Humans ; Length of Stay ; Patient Discharge ; Postoperative Complications/epidemiology ; Retrospective Studies
Language	English
Publishing date	2021-04-03
Publishing country	United States
Document type	Journal Article ; Observational Study ; Research Support, Non-U.S. Gov't
ZDB-ID	224043-9
ISSN	1432-2323 ; 0364-2313
ISSN (online)	1432-2323
ISSN	0364-2313
DOI	10.1007/s00268-021-06052-0
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Article ; Online: Teaching Airway Management Using Virtual Reality: A Scoping Review.

Duffy, Caoimhe C / Bass, Gary A / Yi, William / Rouhi, Armaun / Kaplan, Lewis J / O'Sullivan, Ellen

Anesthesia and analgesia

2023 Volume 138, Issue 4, Page(s) 782–793

Abstract: Airway management, a defined procedural and cognitive skillset embracing routine tracheal intubation and emergency airway rescue, is most often acquired through an apprenticeship model of opportunistic learning during anesthesia or acute care residency ... ...

Abstract	Airway management, a defined procedural and cognitive skillset embracing routine tracheal intubation and emergency airway rescue, is most often acquired through an apprenticeship model of opportunistic learning during anesthesia or acute care residency training. This training engages a host of modalities to teach and embed skill sets but is generally time- and location-constrained. Virtual reality (VR)-based simulation training offers the potential for reproducible and asynchronous skill acquisition and maintenance, an advantage that may be important with restricted trainee work hours and low frequency but high-risk events. In the absence of a formal curriculum from training bodies-or expert guidance from medical professional societies-local initiatives have filled the VR training void in an unstructured fashion. We undertook a scoping review to explore current VR-based airway management training programs to assess their approach, outcomes, and technologies to discover programming gaps. English-language publications addressing any aspect of VR simulation training for airway management were identified across PubMed, Embase, and Scopus. Relevant articles were used to craft a scoping review conforming to the Scale for quality Assessment of Narrative Review Articles (SANRA) best-practice guidance. Fifteen studies described VR simulation programs to teach airway management skills, including flexible fibreoptic bronchoscopic intubation (n = 10), direct laryngoscopy (n = 2), and emergency cricothyroidotomy (n = 1). All studies were single institution initiatives and all reported different protocols and end points using bespoke applications of commercial technology or homegrown technologic solutions. VR-based simulation for airway management currently occurs outside of a formal curriculum structure, only for specific skill sets, and without a training pathway for educators. Medical educators with simulation training and medical professional societies with content expertise have the opportunity to develop consensus guidelines that inform training curricula as well as specialty technology use.
MeSH term(s)	Virtual Reality ; Curriculum ; Computer Simulation ; Simulation Training/methods ; Airway Management ; Clinical Competence
Language	English
Publishing date	2023-07-19
Publishing country	United States
Document type	Review ; Journal Article
ZDB-ID	80032-6
ISSN	1526-7598 ; 0003-2999
ISSN (online)	1526-7598
ISSN	0003-2999
DOI	10.1213/ANE.0000000000006611
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Article ; Online: What Can We Learn From the Past? Pandemic Health Care Workers' Fears, Concerns, and Needs: A Review.

Duffy, Caoimhe C / Bass, Gary A / Fitzpatrick, Gerry / Doherty, Eva M

Journal of patient safety

2020 Volume 18, Issue 1, Page(s) 52–57

Abstract: Background: Health care workers (HCWs) have been engaged in fighting dangerous epidemics for hundreds of years, more recently in severe acute respiratory syndrome, H1N1, Middle East respiratory syndrome, and now coronavirus disease 2019. A consistent ... ...

Abstract	Background: Health care workers (HCWs) have been engaged in fighting dangerous epidemics for hundreds of years, more recently in severe acute respiratory syndrome, H1N1, Middle East respiratory syndrome, and now coronavirus disease 2019. A consistent feature of epidemic disease results is that health care systems and HCWs are placed under immense strain. Methods: A focused narrative review was conducted using Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines to examine the main concerns and anxieties faced by HCWs during recent epidemics and to determine the supports deemed most important to those HCWs to keep them at the frontline. PubMed, Web of Science, and the Cochrane Library were searched in March 2020 using terms "Healthcare" OR "Medical" AND "Staff" OR "Workers" OR "Front line" AND "Concerns" OR "Anxiety" OR "Stress" AND "Pandemic" Or "Epidemic." Results: Twenty-five studies that reported the concerns and expectations of an estimated 13,793 HCWs in 10 countries (Canada, China, Greece, Hong Kong, Japan, Liberia, Netherlands, Saudi Arabia, Singapore and Taiwan) during pandemic situations were identified. Health care workers identified personal and family safety, appreciation, and the provision of personal protective equipment and adequate rest as primary concerns. Informal psychological supports were favored over formal employment-based group interventions. Discussion: Despite being hailed by the media as heroes, HCWs face social stigmatization and experienced high levels of anxiety and fear regarding personal safety and the health of their colleagues and family. Health care workers are more likely to seek peer-to-peer psychological support but also benefit from knowing that formal psychological supports are available to them.
MeSH term(s)	COVID-19 ; Fear ; Health Personnel ; Humans ; Influenza A Virus, H1N1 Subtype ; Pandemics ; SARS-CoV-2
Language	English
Publishing date	2020-12-15
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	2394324-5
ISSN	1549-8425 ; 1549-8417
ISSN (online)	1549-8425
ISSN	1549-8417
DOI	10.1097/PTS.0000000000000803
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Article ; Online: The snapshot audit methodology: design, implementation and analysis of prospective observational cohort studies in surgery.

Bass, Gary A / Kaplan, Lewis J / Ryan, Éanna J / Cao, Yang / Lane-Fall, Meghan / Duffy, Caoimhe C / Vail, Emily A / Mohseni, Shahin

European journal of trauma and emergency surgery : official publication of the European Trauma Society

2022 Volume 49, Issue 1, Page(s) 5–15

Abstract: Purpose: For some surgical conditionns and scientific questions, the "real world" effectiveness of surgical patient care may be better explored using a multi-institutional time-bound observational cohort assessment approach (termed a "snapshot audit") ... ...

Abstract	Purpose: For some surgical conditionns and scientific questions, the "real world" effectiveness of surgical patient care may be better explored using a multi-institutional time-bound observational cohort assessment approach (termed a "snapshot audit") than by retrospective review of administrative datasets or by prospective randomized control trials. We discuss when this might be the case, and present the key features of developing, deploying, and assessing snapshot audit outcomes data. Methods: A narrative review of snapshot audit methodology was generated using the Scale for the Assessment of Narrative Review Articles (SANRA) guideline. Manuscripts were selected from domains including: audit design and deployment, statistical analysis, surgical therapy and technique, surgical outcomes, diagnostic testing, critical care management, concomitant non-surgical disease, implementation science, and guideline compliance. Results: Snapshot audits all conform to a similar structure: being time-bound, non-interventional, and multi-institutional. A successful diverse steering committee will leverage expertise that includes clinical care and data science, coupled with librarian services. Pre-published protocols (with specified aims and analyses) greatly helps site recruitment. Mentored trainee involvement at collaborating sites should be encouraged through manuscript contributorship. Current funding principally flows from medical professional organizations. Conclusion: The snapshot audit approach to assessing current care provides insights into care delivery, outcomes, and guideline compliance while generating testable hypotheses.
MeSH term(s)	Humans ; Prospective Studies ; Retrospective Studies ; Observational Studies as Topic
Language	English
Publishing date	2022-07-15
Publishing country	Germany
Document type	Review ; Journal Article
ZDB-ID	2275480-5
ISSN	1863-9941 ; 1863-9933
ISSN (online)	1863-9941
ISSN	1863-9933
DOI	10.1007/s00068-022-02045-3
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Article ; Online: Thematic mapping of perioperative incident reporting data to relational coordination domains.

Duffy, Caoimhe C / Bass, Gary A / Yura, Chris / Dymek, Malwina / Lorenzi, Cara / Kaplan, Lewis J / Clapp, Justin T / Atkins, Joshua H

Journal of interprofessional care

2022 Volume 37, Issue 2, Page(s) 245–253

Abstract: Communication failure is a common root cause of adverse clinical events. Problematic communication domains are difficult to decipher, and communication improvement strategies are scarce. This study compared perioperative incident reports (IR) identifying ...

Abstract	Communication failure is a common root cause of adverse clinical events. Problematic communication domains are difficult to decipher, and communication improvement strategies are scarce. This study compared perioperative incident reports (IR) identifying potential communication failures with the results of a contemporaneous peri-operative Relational Coordination (RC) survey. We hypothesised that IR-prevalent themes would map to areas-of-weakness identified in the RC survey. Perioperative IRs filed between 2018 and 2020 (
MeSH term(s)	Humans ; Interprofessional Relations ; Risk Management ; Surveys and Questionnaires
Language	English
Publishing date	2022-04-24
Publishing country	England
Document type	Journal Article
ZDB-ID	1099758-1
ISSN	1469-9567 ; 0884-3988 ; 1356-1820
ISSN (online)	1469-9567
ISSN	0884-3988 ; 1356-1820
DOI	10.1080/13561820.2022.2057454
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Article ; Online: Adolescent Gun Violence Shows an Age Group to Focus Trauma Prevention.

Bailey, Joanelle A / Jacovides, Christina L / Butler, Dale / Bass, Gary A / Seamon, Mark J / Cannon, Jeremy / Martin, Niels D

The Journal of surgical research

2022 Volume 283, Page(s) 853–857

Abstract: Introduction: Gun violence continues to escalate in America's urban areas. Peer groups of gun wound victims are potential targets for violence prevention initiatives; identification of this cohort is pivotal to efficient deployment strategies. We ... ...

Abstract	Introduction: Gun violence continues to escalate in America's urban areas. Peer groups of gun wound victims are potential targets for violence prevention initiatives; identification of this cohort is pivotal to efficient deployment strategies. We hypothesize a specific age at which the incidence of penetrating trauma increases significantly in adolescence, below which should be the focus on future trauma prevention. Methods: Adolescent trauma patients with gunshot wounds seen from July 2011 through June 2021 at a well-established, urban, academic level 1 trauma center were reviewed retrospectively and grouped by age. A linear regression and repeated measured analysis of variance evaluated the change in gunshot wound victims over this time, grouped by age. Demographics were extrapolated, and standard statistical analysis was performed. Results: A total of 1304 adolescent trauma patients were included. Those aged 15 y and under had an unchanged incidence of gunshot wounds. However, those aged 16 y and more experienced the majority of increased gun violence; 92% were Black and 90% were male with a mortality of 12%. Adolescents aged 15 y and below were 95% Black and 84% male, with a mortality of 18%. Conclusions: Primary prevention efforts to mitigate gun violence should be focused on adolescents below 16 y of age. Prevention of gun violence should include community outreach efforts directed toward middle school-aged children and younger, hoping to decrease the incidence of injury due to gun violence in older adolescents in the future.
MeSH term(s)	Child ; Humans ; Male ; Adolescent ; Female ; Wounds, Gunshot/epidemiology ; Wounds, Gunshot/prevention & control ; Gun Violence/prevention & control ; Retrospective Studies ; Violence/prevention & control ; Wounds, Penetrating/epidemiology
Language	English
Publishing date	2022-12-06
Publishing country	United States
Document type	Journal Article
ZDB-ID	80170-7
ISSN	1095-8673 ; 0022-4804
ISSN (online)	1095-8673
ISSN	0022-4804
DOI	10.1016/j.jss.2022.10.011
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Article ; Online: Concise Definitive Review: In-Hospital Violence and Its Impact on Critical Care Practitioners.

Bass, Gary A / Chang, Cherylee W J / Winkle, Julie M / Cecconi, Maurizio / Kudchadkar, Sapna R / Akuamoah-Boateng, Kwame / Einav, Sharon / Duffy, Caoimhe C / Hidalgo, Jorge / Rodriquez-Vega, Gloria M / Gandra-d'Almeida, Antonio J / Barletta, Jeffrey F / Kaplan, Lewis J

Critical care medicine

2024

Abstract: Objectives: To provide a narrative review of hospital violence (HV) and its impact on critical care clinicians.: Data sources: Detailed search strategy using PubMed and OVID Medline for English language articles describing HV, risk factors, ... ...

Abstract	Objectives: To provide a narrative review of hospital violence (HV) and its impact on critical care clinicians. Data sources: Detailed search strategy using PubMed and OVID Medline for English language articles describing HV, risk factors, precipitating events, consequences, and mitigation strategies. Study selection: Studies that specifically addressed HV involving critical care medicine clinicians or their practice settings were selected. The time frame was limited to the last 15 years to enhance relevance to current practice. Data extraction: Relevant descriptions or studies were reviewed, and abstracted data were parsed by setting, clinician type, location, social media events, impact, outcomes, and responses (agency, facility, health system, individual). Data synthesis: HV is globally prevalent, especially in complex care environments, and correlates with a variety of factors including ICU stay duration, conflict, and has recently expanded to out-of-hospital occurrences; online violence as well as stalking is increasingly prevalent. An overlap with violent extremism and terrorism that impacts healthcare facilities and clinicians is similarly relevant. A number of approaches can reduce HV occurrence including, most notably, conflict management training, communication initiatives, and visitor flow and access management practices. Rescue training for HV occurrences seems prudent. Conclusions: HV is a global problem that impacts clinicians and imperils patient care. Specific initiatives to reduce HV drivers include individual training and system-wide adaptations. Future methods to identify potential perpetrators may leverage machine learning/augmented intelligence approaches.
Language	English
Publishing date	2024-01-18
Publishing country	United States
Document type	Journal Article
ZDB-ID	197890-1
ISSN	1530-0293 ; 0090-3493
ISSN (online)	1530-0293
ISSN	0090-3493
DOI	10.1097/CCM.0000000000006189
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Article ; Online: Medication Errors in Anesthesiology: Is It Time to Train by Example? Vignettes Can Assess Error Awareness, Assessment of Harm, Disclosure, and Reporting Practices.

Duffy, Caoimhe C / Bass, Gary A / Duncan, James / Lyons, Barry / O'Dea, Angela

Journal of patient safety

2020 Volume 18, Issue 1, Page(s) 16–25

Abstract: Background: Perioperative medication errors (MEs) are complex, multifactorial, and a significant source of in-hospital patient morbidity. Anesthesiologists' awareness of error and the potential for harm is not well understood, nor is their attitude to ... ...

Abstract	Background: Perioperative medication errors (MEs) are complex, multifactorial, and a significant source of in-hospital patient morbidity. Anesthesiologists' awareness of error and the potential for harm is not well understood, nor is their attitude to reporting and disclosure. Anesthesiologists are not routinely exposed to medication safety training. Methods: Ten clinical vignettes, describing an ME or a near miss, were developed using eDelphi consensus. An online survey instrument presented these vignettes to anesthesiologists along with a series of questions assessing error awareness, potential harm severity, the likelihood of reporting, and the likelihood of open disclosure to the patient. The study also explored the influence of prior medication safety training. Results: Eighty-nine anesthesiologists from 14 hospitals across Ireland (53.9% were residents, and 46.1% were attendings) completed the survey. Just 35.6% of anesthesiologists recalled having had medication safety training, more commonly among residents than attendings, although this failed to reach significance (P < 0.081). Medication error awareness varied with the vignette presented. Harm severity assessment was positively associated with error awareness. The likelihood of patient disclosure and incident reporting was both low and independent of harm severity assessment. Conclusions: Perioperative ME awareness and assessment of potential harm by anesthesiologists is variable. Self-reported rates of incident reporting and error disclosure fall short of the standards that might apply in an environment focused on candor and safety. An extensive education program is required to raise awareness of error and embed appropriate reporting and disclosure behaviors. Vignettes, designed by consensus, may be valuable in the delivery of such a curriculum.
MeSH term(s)	Anesthesiologists ; Anesthesiology ; Humans ; Medication Errors/prevention & control ; Risk Management ; Truth Disclosure
Language	English
Publishing date	2020-09-25
Publishing country	United States
Document type	Journal Article
ZDB-ID	2394324-5
ISSN	1549-8425 ; 1549-8417
ISSN (online)	1549-8425
ISSN	1549-8417
DOI	10.1097/PTS.0000000000000785
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