Legal/Ethical Issues

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October 2017
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Causes of malpractice lawsuits against surgical residents

Editor's Note This database review of malpractice lawsuits against surgical residents highlights the importance of perioperative management, particularly among junior residents, and the importance of appropriate supervision by attending physicians as targets for education on litigation prevention. During a 10-year period, 87 malpractice cases involving surgical residents were identified. Results…

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By: Judy Mathias
September 6, 2017
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Study: Concurrent surgeries not linked to adverse outcomes

Editor's Note In this study using data from the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP), concurrent surgical procedures were not found to increase the risk for adverse outcomes. The analysis included 1,430 surgeons from 390 hospitals who performed 12,010 concurrent surgical procedures from 2014 to…

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By: Judy Mathias
August 23, 2017
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Mobile devices: A menace to propriety and patient privacy

Imagine this scenario in your ambulatory surgery center (ASC): A husband and wife in their early 80s arrive for the husband’s knee replacement surgery. His wife will drive him home after surgery, and their daughter will arrive from out of state the next day to help at home while he…

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By: Leslie Flowers
August 22, 2017
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US Representatives ask Secretary Price’s assistance with ASC inflationary update measure

Editor's Note A bipartisan group of 24 US Representatives sent a letter to Department of Health and Human Services Secretary Tom Price, MD, on May 26 asking him to use his statutory authority to move ambulatory surgery centers (ASCs) from the Consumer Price Index for All Urban Consumers (CPI-U) to…

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By: Judy Mathias
June 6, 2017
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National Advocacy Day leads to new cosponsors for ASC legislation

Editor's Note The Ambulatory Surgical Center Quality and Access Act of 2017 (HR 1838/S 1001) has added new cosponsors in the US House of Representatives and was introduced in the Senate, the May 23 Ambulatory Surgery Center Association (ASCA) News Digest reports. Many of the cosponsors signed on as a…

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By: Judy Mathias
May 23, 2017
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Eyes Wide Shut: Managing Taboo Issues

Have you ever faced a situation where there wasn’t a clearly defined answer? Using best practices as a general guideline provides solutions to many challenges OR managers experience, but it is only a matter of time before a moral or ethical dilemma rears its ugly head. What do you do…

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House passes American Health Care Act

Editor's Note The US House of Representatives on May 4 passed the American Health Care Act with 217 yes votes; 216 was the number needed. The bill now moves to the Senate. The House Republicans passed the American Health Care Act with a slim majority on Thursday. The bill gives…

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By: Judy Mathias
May 4, 2017
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Editorial

Even before Trump took office, Congress was planning to prepare ACA repeal legislation by January 27. It looked as though action could be swift once key members of the new administration took office. However, The Washington Post’s report of a January 26 meeting of Republican lawmakers indicated they were far…

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By: Elizabeth Wood
February 17, 2017
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Joint Commission offers AHRQ informed consent learning module

Editor's Note The Agency for Healthcare Research and Quality (AHRQ) has developed two e-learning modules on informed consent that will be available through the Joint Commission’s learning management system for continuing education credit. The modules, which are available for free: help hospital leaders provide guidance on developing policies and ensuring…

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By: Judy Mathias
January 19, 2017
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Nurses again top Gallup poll for ethics, trustworthiness

Editor's Note Nursing remains the most-trusted profession in Gallup’s annual honesty and ethical standards survey for the 15th year in a row. A total of 84% of respondents rated nurses’ honesty and ethical standards as high or very high. Pharmacists and physicians were second and third in the ratings at…

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By: Judy Mathias
January 4, 2017
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ACS NSQIP develops pediatric surgical risk calculator

Editor's Note The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) has developed a pediatric surgical risk calculator based on 181,353 cases covering 382 CPT codes across all specialties. It was found to have excellent discrimination for mortality, morbidity, and seven additional complications. The calculator can be…

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By: Judy Mathias
October 4, 2016
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Daily Huddle Tackles Debriefing Issues

Debriefing has become a standard practice in operating rooms today. Debriefings are designed to discuss opportunities for improvement. Barriers to a successful debriefing include; staff that are conducting debriefing don’t have the ability to make changes, information frequently does not reach leadership and lastly when leadership does get information, content…

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