Katharine Sarah Devitt

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BACKGROUND In 2003, the Accreditation Council for Graduate Medical Education (ACGME) mandated 80-hour resident duty limits. In 2011 the ACGME mandated 16-hour duty maximums for PGY1 (post graduate year) residents. The stated goals were to improve patient safety, resident well-being, and education. A systematic review and meta-analysis were performed to(More)
BACKGROUND Enhanced recovery after surgery (ERAS) protocols have been shown to reduce hospital stay without compromising outcomes. Attempts to apply ERAS principles in the context of pancreatic surgery have generated encouraging results. A systematic review of the current evidence for ERAS following pancreatic surgery was conducted. METHODS A literature(More)
Impact on Resident Wellness, Training, and Patient Outcomes Najma Ahmed, MD,∗ Katharine S. Devitt, MSc,∗ Itay Keshet, MD,† Jonathan Spicer, MD,‡ Kevin Imrie, MD,§ Liane Feldman, MD,‡ Jonathan Cools-Lartigue, MD,‡ Ahmed Kayssi, MD,∗ Nir Lipsman, MD,∗ Maryam Elmi, MD,∗ Abhaya V. Kulkarni, MD,∗ Chris Parshuram, MD,|| Todd Mainprize, MD,∗ Richard J. Warren,(More)
BACKGROUND Surgery is a cornerstone of cancer treatment, but significant differences in the quality of surgery have been reported. Surgical process improvement tools (spits) modify the processes of care as a means to quality improvement (qi). We were interested in developing spits in the area of gastrointestinal (gi) cancer surgery. We report the(More)
PURPOSE Individuals representing various surgical disciplines have expressed concerns with the impact of resident duty hours (RDH) restrictions on resident education and patient outcomes. This thematic review of published viewpoints aimed to describe the effects of these restrictions in surgery. METHOD The authors conducted a qualitative systematic review(More)
130 Background: Pancreas cancer is the 4th cause of cancer death. Surgical resection is the optimal treatment. But pancreaticoduodenectomy (PD) is complex with high perioperative morbidity. Complications following PD have a negative effect on quality of life and survival. Clinical pathways (CPW) are quality improvement (QI) tools that standardize the(More)
BACKGROUND Surgery is a cornerstone of treatment for malignancy. However, significant variation has been reported in patterns and quality of cancer care for important health outcomes, including perioperative mortality. Surgical process improvement tools (SPITs) have been developed that focus on enhancing the processes of care at the point of care, as a(More)
BACKGROUND Pancreaticoduodenectomies (PD) are complex surgical procedures. Clinical pathways (CPW) are surgical process improvement tools that guide postoperative recovery and are associated with high quality care. Our objective was to report the quality of surgical care following implementation of a CPW. METHODS We developed and implemented a CPW for(More)
BACKGROUND Clinical pathways (CPW) are considered safe and effective at decreasing postoperative length of stay (LoS), but the effect on economic costs is uncertain. This study sought to elucidate the effect of a CPW on direct hospitalization costs for patients undergoing pancreaticoduodenectomy (PD). METHODS A CPW for PD patients at a single Canadian(More)
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