Surgery/Specialties

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December 2017
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Study: Restrictive vs liberal blood transfusion outcomes in cardiac surgery patients

Editor's Note A restrictive blood transfusion strategy (HGB <7.5 g/dL) was equivalent to a liberal strategy (HGB <9.5 g/dL in the OR or ICU and HGB<8.5 g/dL in the non-ICU ward) with regard to mortality and major disability in cardiac surgery patients who had a moderate-to-high risk of death, this…

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By: Judy Mathias
November 16, 2017
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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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Landmark study may affect stroke treatment guidelines

Editor's Note Guidelines for stroke treatment currently recommend clot removal within 6 hours of onset. However, a new study led by researchers from Emory University School of Medicine, Atlanta, finds that clot removal up to 24 hours leads to significantly reduced disability. This international multi-center study randomly assigned 206 stroke…

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By: Judy Mathias
November 13, 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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Periop nurses key in reducing readmissions after CABG surgery

Editor's Note Perioperative nurses engaging in patient and community education to explain coronary artery bypass grafting (CABG) surgery, reinforcing recommended discharge guidelines, and serving as expert resources are key to positive outcomes and reducing readmissions, finds this review article. In 2016, the Centers for Medicare & Medicaid Services reduced payments…

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By: Judy Mathias
November 6, 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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Surveillance is safe for noncancerous, high-risk breast lesions

Editor's Note High-risk, noncancerous flat epithelial atypia (FEA) breast lesions can be treated with close observation rather than surgical removal in most cases, this study finds. The analysis of 208 patients diagnosed with FEA over a 9-year period found that after mammography, biopsy, and surgical excision, five lesions (2.4%) were…

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By: Judy Mathias
November 1, 2017
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Study: No advantages to robotic-assisted nephrectomy

Editor's Note Robotic-assisted nephrectomy is more expensive and takes longer than conventional laparoscopic nephrectomy and confers no additional benefits, this study finds. The proportion of robotic-assisted nephrectomies increased from 1.5% in 2003 to 27% in 2015. Of 23,753 patients analyzed, no significant differences were found in major postoperative complications between…

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By: Judy Mathias
October 31, 2017
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FDA: Increased rate of major adverse events with Absorb GT1 Bioresorbable Vascular Scaffold

Editor's Note The Food and Drug Administration (FDA) on October 31 issued a Safety Alert saying that interim study results continue to show an increased rate of major adverse cardiac events and Bioresorbable Vascular Scaffold (BVS) thrombosis in patients receiving the Absorb GT1 BVS by Abbott Vascular (Abbott Park, Illinois),…

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By: Judy Mathias
October 31, 2017
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