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March 2018
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Peer review inspires high performance from providers

Peer review is a hot topic in the quality arena as many ambulatory surgery centers (ASCs) strive to create meaningful and sustainable evaluation of their providers. “As a surveyor, I can tell you peer review trips everybody up,” says Ann Geier, MS, RN, CNOR, CASC, chief nursing officer of Surgical…

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By: Leslie Flowers
November 15, 2017
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Nurse-run telephone triage service for after-hour calls by neurosurgery patients

Editor's Note Clinical Advice Service (CAS), a nurse-run telephone triage service for after-hour calls, developed at the Stanford University School of Medicine, provides well-coordinated care to neurosurgery patients while reducing physician workload, this study finds. Between July 2016 and June 2017, CAS nurses received 1,021 after-hours calls from neurosurgery patients.…

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By: Judy Mathias
November 10, 2017
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Study: Overlapping surgery is safe

Editor's Note Overlapping surgery can be safely performed without risking patient safety, this study from Emory University Hospital finds. Of 2,275 neurosurgical cases included in the analysis, 1,303 were overlapping and 972 were nonoverlapping. The researchers found no difference between overlapping and nonoverlapping neurosurgical procedures in terms of 90-day postoperative…

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By: Judy Mathias
November 8, 2017
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Interventions increase reporting of adverse events by pediatric anesthesiologists

Editor's Note Electronic mandatory incident reporting system data entry and an initiative to understand and address reporting barriers and motivators were associated with sustained increases in adverse event reporting by pediatric anesthesiologists, in this study. Of 72,384 pediatric anesthetics analyzed, there were 2,689 adverse events. A subgroup of 54,469 cases…

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By: Judy Mathias
November 7, 2017
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Healthcare adds 21,500 jobs in October

Editor's Note Healthcare added 21,500 jobs in October to a seasonally adjusted 15,830,700 employees, the Bureau of Labor Statistics reported November 3. That’s 300,600 more than a year ago. Hospitals, specifically, added 2,800 jobs in October to a seasonally adjusted 5,130,700 employees, which is 72,400 more than a year ago.…

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By: Judy Mathias
November 7, 2017
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One in five physicians intend to reduce work hours or leave the profession

Editor's Note The burden and bureaucracy of today’s practice of medicine are major factors influencing physicians’ intentions to reduce work hours or leave the profession, finds this study from the American Medical Association, Mayo Clinic, and Stanford University. Of nearly 36,000 physicians across all specialties surveyed, 6,880 (19.2%) responded. Nearly 1…

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By: Judy Mathias
November 2, 2017
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AAAHC develops new Orthopaedic Certification for ASCs

Editor's Note The Accreditation Association for Ambulatory Health Care (AAHC) announced on November 2 that it has developed a new Orthopaedic Certification program for ambulatory surgery centers (ASCs). After an ASC achieves overall accreditation, it can acquire the Orthopaedic Certification to demonstrate excellence in the specialty of orthopaedics by meeting…

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By: Judy Mathias
November 2, 2017
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Improving readability of discharge instructions linked to fewer follow-up phone calls

  Editor's Note Making discharge instructions easier to read resulted in fewer phone calls from traumatic injury patients after discharge, finds this study presented October 25 at the American College of Surgeons Clinical Congress 2017 in San Diego. A total of 1,006 patients were included in the study, 493 in…

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By: Judy Mathias
October 31, 2017
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Total joint patients using fewer opioids to manage postop pain

Editor's Note Opioid use in total hip and knee patients decreased by one-third between 2006 and 2014, which reflects success in the use of a multimodal approach (ie, opioids plus additional pain management methods, such as peripheral nerve blocks and acetaminophen) to pain management, finds this study presented October 21…

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By: Judy Mathias
October 27, 2017
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Standardized ambulatory surgery protocol reduces postop pain, ED visits

Editor's Note Standardizing clinical processes for outpatient hernia repairs reduced postoperative pain and unplanned returns to the emergency department (ED), finds this study presented October 23 at the American College of Surgeons 2017 Clinical Congress in San Diego. Researchers developed a standardized eight-step protocol that incorporated best practices and enhanced…

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By: Judy Mathias
October 25, 2017
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