Surgery/Specialties

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October 2017
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Joint Commission announces first recipient of Comprehensive Cardiac Center Certification

Editor's Note The Joint Commission on July 19 announced that the University of Kansas Health System, Kansas City, is the first hospital in the nation to achieve its Comprehensive Cardiac Center (CCC) Certification. To achieve certification, hospitals must demonstrate compliance with consensus-based standards, evidence-based clinical practice guidelines for cardiac care,…

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By: Judy Mathias
July 19, 2017
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Safety of nipple-sparing mastectomy

Editor's Note Women with breast cancer who have nipple-sparing mastectomies have a low rate of cancer recurrence in the first 5 years, this study finds. Of 311 patients with nipple-sparing mastectomies analyzed, 17 developed a recurrence of their cancer at 51 months median follow-up. Estimated disease-free survival was 95.7% at…

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By: Judy Mathias
July 18, 2017
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CMS proposes paying for outpatient total joints

Editor's Note The Centers for Medicare & Medicaid Services on July 13 issued a proposed rule that updates payment rates and policy changes in the Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System. Among the proposals are that Medicare pay for knee replacement procedures performed in outpatient…

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By: Judy Mathias
July 17, 2017
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Scientists create artificial heart with 3D printing

Editor's Note Researchers from Zurich, Switzerland, have created an artificial heart out of silicone using 3D printing. The artificial heart, which mimics the human heart in shape and function, presently has a lifespan of approximately 3,000 beats, or about 30 to 45 minutes. The researchers hope to develop a more…

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By: Judy Mathias
July 17, 2017
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Global outbreak of M chimaera linked to German factory

Editor's Note The LivaNova factory in Munich, Germany, a manufacturer of heater-cooler units used in cardiothoracic surgery, appears to be the source of a global outbreak of Mycobacterium chimaera, this study finds. Researchers matched the DNA of samples taken from 21 infected cardiothoracic surgical patients to samples from heater-cooler units…

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By: Judy Mathias
July 17, 2017
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AHRQ: Review of VTE prophylaxis in orthopedic surgery

Editor's Note A new report from the Agency for Healthcare Research and Quality (AHRQ) compares the effectiveness of strategies to prevent venous thromboembolism (VTE) in patients having total hip replacement (THR), total knee replacement (TKR), or hip fracture surgery. The study directly compares different types of blood thinners and mechanical…

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By: Judy Mathias
July 13, 2017
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Hybrid OR experts plus exhibit equal exceptional education

Each year, the OR Manager Conference showcases the latest hybrid OR technology along with expert advice from clinicians and manufacturers. The 2017 conference (October 2-4 in Orlando, Florida) will feature an extensive exhibit and opportunities to interact with the Hybrid OR Steering Committee members (sidebar, p 15): • Monday, 2…

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By: Elizabeth Wood
July 13, 2017
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Orthopedic PSH a prime model for value-based care—Part 1

Uncertainties pepper the healthcare landscape, but the shift to value-based care is expected to continue, even though momentum may slow under the current administration. That means perioperative services leaders must continue to explore new care delivery options such as the perioperative surgical home (sidebar, p 17). “The demand for value…

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By: Cynthia Saver, MS, RN
July 13, 2017
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Survey finds compensation key to physician retention

Editor's Note In the annual Physician Practice Preference & Relocation Survey from The Medicus Firm, nearly 3 in 10 physicians say concerns about appropriate compensation is the primary reason they would consider a career change, the July 5 FierceHealthcare reports. More than 17% of respondents say they will “likely” or…

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By: Judy Mathias
July 11, 2017
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Outcomes, costs associated with appendectomy in safety-net hospitals

Editor's Note Safety-net hospitals treat a disproportionate number of patients with advanced appendicitis and use laparoscopy less often, but their rates of morbidity and costs are similar to other hospitals, this study finds. In this analysis of 349 nonfederally funded hospitals in California performing 274,405 appendectomies, safety-net (compared with non-safety-net)…

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By: Judy Mathias
July 10, 2017
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