Editor's Note In this study, led by the University of Pennsylvania Perelman School of Medicine, Philadelphia, researchers developed and validated better surgical specialty-specific multimorbidity definitions based on distinct characteristics of older inpatients undergoing general, orthopedic, or vascular surgery. The researchers used 2016 to 2017 Medicare administrative claims data on patients…

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Editor's Note Disrupted sleep rhythms because of the daylight saving time change can throw people off schedule, leading to cumulative sleep loss, the March 9 npr.org reports. Studies have shown there is a higher risk of strokes, heart attacks, high blood pressure, automobile accidents, workplace injuries, and mental health issues…

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Editor's Note Overall healthcare employment in the US was up in February to a seasonally adjusted 16,688,300 workers, the Bureau of Labor Statistics reported on March 10. That’s up 44,200 since January. Hospital employment also was up by 19,400 jobs. The overall unemployment rate for March was 3.6%, for a…

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Editor's Note This study from the University of Michigan, Ann Arbor, finds that total hip (THA) and total knee (TKA) arthroplasty patients could be prescribed less opioids after surgery without the need for refills. The analysis included a cohort of 120,889 opioid-naïve primary total joint arthroplasty patients aged 18 to…

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Editor's Note The Joint Commission on March 8 announced that it has approved new and revised requirements for hospitals and critical access hospitals certified under the Patient Blood Management Certification program, effective July 1. The requirements have been updated to maintain alignment with the Association for the Advancement of Blood…

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Editor's Note This German study finds that extension of the currently recommended 10-year screening colonoscopy intervals may be warranted, especially for female and younger participants without gastrointestinal symptoms. Data on 1.25 million individuals in the German screening colonoscopy registry, the world’s largest registry of its kind, were analyzed. A total…

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Editor's Note This study, presented March 7 at the American Academy of Orthopaedic Surgeons (AAOS) annual meeting in Las Vegas, finds high reported satisfaction and outcomes in patients who had outpatient joint arthroplasty procedures in academic medical centers. The study included 281 outpatient total joint arthroplasty (TJA) and unicondylar knee…

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Editor's Note The Joint Commission on March 1 announced a revision to Performance Improvement (PI) standard PI:01.01.01, Element of Performance (EP) 4, which has to do with data collection on significant discrepancies between preoperative and postoperative diagnoses. The revision was made after healthcare organizations expressed confusion with the requirement. The…

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Editor's Note This study from the Mayo Clinic finds that despite calls for the expansion of outpatient surgery to mitigate the growing backlog of surgical cases during COVID-19, the transition of general surgery procedures from inpatient to outpatient settings occurred in only a small subset of procedures. This cohort study…

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Editor's Note The Joint Commission on March 1 announced that updated Accelerate PI Dashboard Reports, which provide performance measurement data on certain quality measures, are available for hospitals (HAPs), critical access hospitals (CAHs), ambulatory surgery centers (ASCs), and nursing care centers (NCCs). ASC reports contain data through the fourth quarter…

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