JACS Highlights October 2024

The following articles appear in the October 2024 issue of the Journal of the American College of Surgeons. A complimentary online subscription to JACS is a benefit of ACS membership. See more articles on the JACS website.

Thirty- and 90-Day Morbidity and Mortality by Clavien-Dindo after Anti-reflux and Hiatal Hernia Surgery

Megan L. Ivy, MD, George Baison, MD, Cassandra Griffin, and colleagues

Antireflux and hiatal hernia surgery often occur simultaneously and have modest morbidity and low mortality. Using the Clavien-Dindo classification system, this retrospective, single-center study identified and evaluated complications occurring within the first 90 days postoperatively. The data are helpful in informing patients and guiding providers for optimal consent. Read more.

Lack of Concordance between Abbreviated Injury Scale and American Association for the Surgery of Trauma Organ Injury Scale in Patients with High-Grade Solid Organ Injury

Jeffrey Santos, MD, Shelby Kunz, MD, Areg Grigorian, MD, and colleagues

This multicenter, retrospective study, which assessed the correlation between the Abbreviated Injury Scale (AIS) for the abdomen and The American Association for the Surgery of Trauma (AAST) Organ Injury Scale for liver and spleen injury, demonstrated that the two severity scores lack overall concordance and differ in rate of surgical intervention. Researchers concluded that AIS should not be used as a surrogate for the AAST Organ Injury Scale. Read more.

Surgical Intraoperative Handoff Initiative: Standardizing Operating Room Communication using SHRIMPS

Wesley A. Stephens, MD, Madeline J. Anderson, DO, Brittany E. Levy, MD, MPH, and colleagues

Minimal communication standardization exists within the OR during intraoperative staff changes. Implementation of a standardized handoff between surgical technicians with the SHRIMPS cognitive aid resulted in substantially improved critical communication during staff changes, with 100% of surgical technician handoffs completed with 98.2% of elements addressed. Read more.

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