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Related Concept Videos

SBAR II: Application of SBAR01:14

SBAR II: Application of SBAR

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SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
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Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
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Related Experiment Video

Updated: May 8, 2025

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Unveiling Equitable Surgical Prioritization: Insights From a Comprehensive Analysis Using the Medically Necessary and

Chrysanthy Ha1, Nathan Carroll2, Shawn Steen3

  • 1Surgery, Community Memorial Hospital, Ventura, USA.

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|December 26, 2024
PubMed
Summary
This summary is machine-generated.

The Medically Necessary and Time-Sensitive (MeNTS) scoring system did not show racial disparities in surgical prioritization during the COVID-19 pandemic. Standardized scoring may help reduce bias in healthcare decisions.

Keywords:
clinical scoring systemcovid-19limited resourcesracial and ethnic disparitiesunequal access to healthcare

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Area of Science:

  • Healthcare disparities
  • Surgical prioritization
  • Medical decision-making

Background:

  • Racial disparities in surgical care are a significant concern, exacerbated by pandemic-related resource scarcity.
  • Provider bias can influence medical decision-making, impacting equitable access to procedures.
  • The American College of Surgeons developed the Medically Necessary and Time-Sensitive (MeNTS) scoring system to standardize prioritization for non-emergent, but necessary, surgeries.

Purpose of the Study:

  • To evaluate the effectiveness of the MeNTS scoring system in reducing racial disparities in surgical prioritization.
  • To analyze whether the implementation of the MeNTS system impacted the time to surgery across different racial and ethnic groups during the COVID-19 pandemic.

Main Methods:

  • A retrospective cross-sectional study analyzed Electronic Medical Records from June 1, 2020, to December 31, 2021.
  • Bivariate and multivariate analyses were used to examine variations in MeNTS scores and time to surgery based on patient race and ethnicity.
  • The study included 2,997 patients from diverse racial and ethnic backgrounds.

Main Results:

  • No statistically significant differences in mean days to surgery or MeNTS scores were observed across racial and ethnic groups.
  • A multivariate survival model indicated that lower MeNTS scores (below 30) were associated with a higher likelihood of receiving surgery.
  • The analysis found no significant disparities in surgery likelihood based on race, ethnicity, or gender when using the MeNTS system.

Conclusions:

  • The MeNTS scoring system demonstrated an absence of statistically significant racial disparities in surgical prioritization.
  • These findings suggest that standardized scoring systems can be effective tools in mitigating potential biases in medical decision-making.
  • The study contributes valuable insights into promoting equitable healthcare practices within surgical settings.