As for so why the surgeons had equivalent outcomes whether they’d pulled a night time shift or not really, Baxter said that even though it is possible that overnight work didn’t affect their performance, she thinks that description is less likely than others. More likely the current way doctors self-regulate mitigates the harms of overnight function for his or her patients, she said. For example, surgeons who don’t tolerate sleep deprivation well may under no circumstances schedule surgery the day after acquiring [an overnight] call. Another thing surgeons might do, she said, is to improve their surgery programs for the next day by delaying or cancelling surgeries. That’s precisely what Pellegrini recommends. The obligation of the cosmetic surgeon is to look at how I can be in the best physical and mental form, including lack of fatigue, to perform at my peak, he stated.I've managed the implementation of ACS NSQIP in two hospitals and also have noticed significantly better improvement styles for a healthcare facility that generates and receives more feedback. It is important for hospitals to remain proactive in order to get results. Alfons Pomp, MD, FACS, FRCSC, Leon C. Hirsch Professor, Vice Chairman, Section of Surgery, Chief, Section of Laparoscopic and Bariatric Surgery, NewYork-Presbyterian Medical center/Weill Cornell Medical Center It's imperative that hospitals possess the proper infrastructure set up before they can act on functionality improvement based on outcomes they get from measurement tools like ACS NSQIP.