Becker's Spine Review

July/August Spine Review 2018

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37 OUTPATIENT SURGERY Why outpatient spine centers can have lower infection rates than hospitals By Mackenzie Garrity O utpatient centers can be a great alternative for inpatient surgery for the right candidate. Studies have shown outpatient surgery costs less and leads to the same outcomes as inpatient surgery. Phoenix Spine took an in-depth look at its surgery center to determine its infec- tion rate and reasons for success. Here's what you need to know. 1. Many ASCs report between 1 and 5 sur- gical site infections per 1,000 patients while some hospitals can report rates of 20 infections per 1,000 patients. 2. One reason for the lower infections rates is the regulations in place for ASCs. Outpatient centers must have effective means to transfer patients to hospital in case of complications while also following the same stan- dards of care as hospitals. 3. Additionally, ASCs focused on specific specialties employ staff who are experts in that field. By having surgeons and a support team versed in specific proce- dures, infection rates can drop. 4. Also, because ASCs are often run by a small group of surgeons, the sur- geons can tailor their specialty, fo- cusing on the equipment, layout, procedures and staff skill level re- quired. 5. Further research also found because ASCs can specialize in one type of surgery, they can in turn experience lower infections rates.

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