Health and Economic Impact of Surgical Site Infections Diagnosed after Hospital Discharge

Although surgical site infections (SSIs) are known to cause substantial illness and costs during the index hospitalization, little information exists about the impact of infections diagnosed after discharge, which constitute the majority of SSIs. In this study, using patient questionnaire and administrative databases, we assessed the clinical outcomes and resource utilization in the 8-week postoperative period associated with SSIs recognized after discharge. SSI recognized after discharge was confirmed in 89 (1.9%) of 4,571 procedures from May 1997 to October 1998. Patients with SSI, but not controls, had a significant decline in SF-12 (Medical Outcomes Study 12-Item Short-Form Health Survey) mental health component scores after surgery (p=0.004). Patients required significantly more outpatient visits, emergency room visits, radiology services, readmissions, and home health aide services than did controls. Average total costs during the 8 weeks after discharge were US$5,155 for patients with SSI and$1,773 for controls (p<0.001)

Medical Student Mistreatment: Understanding \u27Public Humiliation\u27

Introduction: Mistreatment in medical school is an enduring problem in medical education. Little is known about the concept of ‘public humiliation,’ one of the most common forms of mistreatment as identified on the AAMC Graduation Questionnaire. The objective of this study was to further investigate ‘public humiliation’ and to understand the underpinnings and realities of ‘public humiliation’ in medical education. Method: Focus groups of medical students on clinical rotation at the University of Washington School of Medicine were conducted over one and a half years. Qualitative analysis of responses identified emergent themes. Results: Study results included responses from 28 third year and one fourth-year medical student obtained over five different focus groups. Participants defined the term ‘public humiliation’ as negatively, purposefully induced embarrassment. Risk factors for the experience of public humiliation in educational settings were found to include the perceived intent and tone of the teacher, as well as situations being ‘public’ to patients and taking place during a medical or surgical procedure. Socratic teaching or ‘pimping’ was not found to be a risk factor as long as learners were properly oriented to the teaching practice. Discussion: This study investigated and defined ‘public humiliation’ in the setting of medical student mistreatment. More subtle forms of mistreatment, like public humiliation, may be amenable to interventions focused on teaching educators about the importance of orientation and clear communication of intent during the teaching process

The Grizzly, February 9, 1993

Novelist Reed to Satire P.C. • New Twists on Pledging • Quilt Weaves Its Way to Ursinus • Doctor Fletcher, UC Professor Emeritus, Hospitalized • Airband is Coming • Coffee House Counts on a Big Semester • Senior Profile: Lynn Cunnane • Fox\u27s Latest Teensomething • A Degree is not Enough Today • The Absurdity of the Circular Argument • U.C. Gets Bad P.R.https://digitalcommons.ursinus.edu/grizzlynews/1309/thumbnail.jp

The Lantern Vol. 61, No. 1, December 1993

• In Order to Succeed • Essay • Power of Human Self-Interest: Man vs. Car • In Setterich • Wandering Wanda • Maybe Kitchens • Saltiness • Homecoming • Perfect • Sincerely, Jen • A Midterm and a Paper • Prophet Junkie • Soundless Memo • After Ireland, Part 1https://digitalcommons.ursinus.edu/lantern/1142/thumbnail.jp

The Grizzly, February 7, 1995

Faculty and Administrators Focus on Sophomore Concerns • Survey of Ursinus Freshmen • Voice of Ursinus Rings Clear • Border Dispute Between Ecuador and Peru • Tabby Buckingham Dies at 16 • Ursinus Students Attend March for Life • Senior Spotlight: Michelle Ryan • WVOU: No Longer Speechless!! • The Marginal Uncertainty Hour Brings Talk Radio to Ursinus • Bears Snap Two-Game Skid • West Chester Edges Gymnasts • Cauley Triple Winner in Phone Meets • Cosgrove Sets Records in Win • Put Down the Pencils, Faculty is Going to Schoolhttps://digitalcommons.ursinus.edu/grizzlynews/1352/thumbnail.jp

The Grizzly, February 2, 1993

Cowboys Tame Buffalo, 52-17 • Upsilon Phi Delta Approved • AIDS Quilt • Al Eaton\u27s We Are the Dream • Day For a King • Power Plays • Bernie Bernie Headflap Wins Battle of the Bands • Lorelei at Chateau Granieri • Ice Skating Fun • The Case of the Disappearing Sevs (Or: Why Collegeville\u27s Most Famous Convenient Mart Upped & Left) • Senior Profile: Chris Kakacek • The New Zack\u27s: Why Hike to WaWa? • What\u27s Up in Wellness • Character was an Issue, Again • The Importance of Effort and A Dream • UC Baseball Preview \u2793 • Gymnasts Hoping For Powerful Season • Lady Bears Make Playoffs • Swimmers Working Hard • Football Awards Banquet Held • Wrestlers Continue Excellence • Men\u27s Basketball Split Twohttps://digitalcommons.ursinus.edu/grizzlynews/1308/thumbnail.jp

The Grizzly, March 1, 1994

Up \u27Til Noone to Play at The Trappe • Last Semester\u27s Blood Drive a Success • Kane Encourages Support for Blood Drive • CIA Officer and his Wife Accused of Spying • Professor Profile: Keith Brand • Broughton Exhibit to Open in Berman • Senior Profile: Alan McCabe • The Snow Closing Debates, Continued • Letter to the Editor • To All Administrators, Faculty, Staff, and Other Interested Parties • Women\u27s Hoops Have Best Season Everhttps://digitalcommons.ursinus.edu/grizzlynews/1332/thumbnail.jp

The Grizzly, November 17, 1992

Ann Landers at Founder\u27s Day • Dr. Clayton Speaks on Education • An Active MSU • Elliot Speaks on Racism • Dinosaurs and Meteors • What Wismer Can Do For You • Greeks Grow With Chi Rho Psi • Top Ten Reasons Ursinus Needs a Coffeehouse • Catch of the Week • Shoulder Dancing to Depeche Mode • Voyages to Freedom Exhibit and the Jewish Experience in America • Messiah • In Their Own Words • Let\u27s See How They Like It • Concert and Jazz Bands to Perform • A Push for Physically Challenged Accessibility • Who\u27s on First? • Letters to the Editor • The Editorial Mission: Our Relationship to The Grizzly • UC Men\u27s Basketball For \u2792-\u2793 • Senior Billitto Glad He Transferred to UC • Field Hockey \u2792: A Look Back • Football Ends Tough Yearhttps://digitalcommons.ursinus.edu/grizzlynews/1305/thumbnail.jp

The Grizzly, December 8, 1992

Gomez Speaks on Gildah Stories • Wellness Center Confusion • Greek Service Projects • How To Handle Holiday Dysfunction • Senior Profile: Tina Moukoulis • Wismer\u27s Christmas Dinner • Russian Rock With Yuri • Exam Schedule • Standards • A Lack of Preventive Aid • Letters: Greetings from France; Response to Disabled Accessibility • UC Snaps Losing Steak; Picks Up Three Wins • Lady Bears Recaphttps://digitalcommons.ursinus.edu/grizzlynews/1307/thumbnail.jp

The Lantern Vol. 62, No. 1, December 1994

• Hollow • A Little Knowledge is Dangerous • My Old Block • Life • The Natural Born Fool • Oracle • Formation of a Triangle • Marie on the Beach • The Tweed Derby • Tripping • In Vitro • The Character • Coming Home for Christmas • Unkempt • Too Much • Reimertanti-Ode • Seeds • Secrethttps://digitalcommons.ursinus.edu/lantern/1145/thumbnail.jp