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April 2019

Accuracy of surgical procedure valuations in Medicare’s Fee Schedule

Editor's Note The Center’s for Medicare and Medicaid Services (CMS) is legally responsible for setting and updating the work element of its relative value units (RVUs), which form the Medicare Physician Fee Schedule used to determine physician payments. In practice, however, updating what is known as the “work RVU” is…

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By: Judy Mathias
April 18, 2019
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FDA continues efforts to assess duodenoscope contamination risk

Editor's Note The Food & Drug Administration (FDA) on April 12 announced that it is taking steps to implement additional regulatory actions, including consulting with federal health experts, on how to reduce the risks of contamination and infections linked to duodenoscopes. The agency is also collaborating with manufacturers of disposable…

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By: Judy Mathias
April 18, 2019
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Operative volume is essential quality indicator for performing emergent general surgery in elderly

Editor's Note In this study, survival rates for geriatric patients were significantly improved when emergency general surgery procedures were performed at hospitals with higher operative volumes. Of 41,860 surgical procedures evaluated at 200 hospitals, mortality decreased as hospital emergency operative volume increased. For every standardized increase in volume, reduction in…

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By: Judy Mathias
April 18, 2019
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Joint Commission: Quick Safety addresses drug diversion

Editor's Note The Joint Commission announced on April 17 that the April issue of Quick Safety focuses on drug diversion and examines patterns and trends that could indicate drug diversion. It also offers safety actions organizations can take and describes how to take the mistakes other hospitals have made and…

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By: Judy Mathias
April 18, 2019
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AI detects prostate cancer as well as experienced radiologists

Editor's Note A new artificial intelligence (AI) system developed by researchers at the UCLA David Geffen School of Medicine improved the ability to diagnose prostate cancer in this study. The system, called “FocalNet,” helps identify and predict the aggressiveness of the disease by evaluating MRI scans. Results showed that FocalNet…

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By: Judy Mathias
April 17, 2019
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FDA issues statement on trach tube shortages

Editor's Note The Food & Drug Administration on April 12 issued a statement about the agency’s efforts to mitigate the shortage of Smiths Medical’s Bivona tracheostomy tubes, especially the pediatric tubes. The shortage is a result of the closure of a large ethylene oxide sterilization facility in Willowbrook, Illinois, and there…

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By: Judy Mathias
April 17, 2019
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Study: Findings describe nurse manager role preparation, competency

Editor's Note Nurse executives need to evaluate the strength of their nursing leadership talent pool and develop policies and strategies that promote nurse manager competence, this study finds. A survey of 647 nurse managers, who manage 964 patient care units in 54 hospitals found the following: They rated themselves as…

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By: Judy Mathias
April 16, 2019
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FDA: Class I recall of Brainlab Spine & Trauma 3D Navigation Software

Editor's Note The Food & Drug Administration (FDA) on April 15 identified the recall of Brainlab's Spine & Trauma 3D Navigation Software as Class I, the most serious. The Software is being recalled because of the potential for incorrect information to display during surgery, which may prevent the surgeon from…

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By: Judy Mathias
April 16, 2019
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David Wyatt is AORN’s new president-elect

Editor's Note Congratulations to the newly elected AORN officers for 2019-2020: President-elect: David A. Wyatt, PhD, RN, NEA-BC, CNOR Treasurer: Vangie Dennis, BSN, RN, CNOR, CMLSO Board of Directors: Nakeisha M. Archer, MBA, RN, NE-BC, CNOR, CSSM; Vicki J. Barnett, MSN, RN, CNOR; William Duffy, MJ, RN, CNOR, FAAN; Brenda…

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By: Judy Mathias
April 11, 2019
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New care pathway reduces delirium, readmissions for frail elderly trauma patients

Editor's Note A new interdisciplinary care protocol for frail elderly trauma patients significantly decreased delirium and 30-day readmission risk in this study. Researchers at Brigham and Women’s Hospital, Boston, compared the care of 125 patients who were treated before the pathway was implemented with 144 patients after the pathway was…

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By: Judy Mathias
April 11, 2019
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