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Harvard study assesses surgeon as second victim

Editor's Note Intraoperative adverse events (iAEs) occur often and have a significant negative impact on surgeons’ wellbeing, this study finds. Barriers to transparency include fear of litigation and absence of a well-defined reporting system. A survey was conducted of all surgeons at three major teaching hospitals connected with the Harvard…

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By: Judy Mathias
January 18, 2017
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CMS extends deadline for reporting 2016 quality data

Editor's Note The Centers for Medicare & Medicaid Services (CMS) on January 17 announced a deadline extension for reporting CY 2016 electronic Clinical Quality Measure data to avoid a 2.7% payment adjustment in FY 2018. The extension applies to hospitals and critical access hospitals participating in the Hospital Inpatient Quality…

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By: Judy Mathias
January 18, 2017
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FDA issues Safety Alert on Lifepak 1000 defibrillators

Editor's Note The Food and Drug Administration (FDA) on January 14 issued a Safety Alert announcing the voluntary field action by Physio-Control (Redmond, Washington) notifying its customers to immediately remove and reinstall batteries in the Lifepak 1000 defibrillator. The company has received 34 reports of customers attempting to use the…

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By: Judy Mathias
January 18, 2017
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Outpatient vs inpatient ankle fracture repair

Editor's Note In this study of inpatient and outpatient open reduction and internal fixation (ORIF) for ankle fractures, researchers found a reduced risk of 30-day medical morbidities with outpatient ORIF and no differences in surgical morbidity, reoperations, and readmissions between the two groups. The findings demonstrate that performing ORIF surgery…

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By: Judy Mathias
January 17, 2017
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Study: New surgical mask traps, kills viruses

Editor's Note A University of Alberta engineering professor and colleagues have invented a surgical mask that traps and kills viruses by applying a salt formulation to the mask’s filter fibers, the January 5 ScienceDaily reports. When an aerosol droplet carrying a virus contacts the treated fibers, the droplet absorbs the…

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By: Judy Mathias
January 17, 2017
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FDA: Certain Fujifilm duodenoscopes removed from clinical use

Editor's Note The Food and Drug Administration (FDA) on January 13 issued a Safety Communication that Fujifilm Medical Systems (Wayne, New Jersey) will remove its legacy 250/450 duodenoscope models from clinical use based on the limited number currently in use. Fuji will replace the 250/450 models with the ED-530XT model,…

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By: Judy Mathias
January 17, 2017
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Care after surgery drives costs

Editor's Note This study finds that where surgical patients go after they are discharged varies widely, and that variation leads to huge differences in how much their care costs. Variation in postacute care spending between lowest and highest quintiles differed 129% for total hip replacement, 103% for coronary artery bypass…

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By: Judy Mathias
January 11, 2017
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FDA issues safety alert on implantable cardiac devices, transmitters by St Jude Medical

Editor's Note The Food and Drug Administration on January 9 issued a safety alert for St Jude Medical’s (St Paul, Minnesota) radio frequency-enabled implantable cardiac devices and Merlin@home transmitters on reducing the risk of patient harm from cybersecurity vulnerabilities. The vulnerabilities, if exploited, could allow an unauthorized user to remotely…

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By: Judy Mathias
January 11, 2017
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ERAS shown to improve outcomes

Editor's Note In this review article, researchers conclude that implementation of Enhanced Recovery after Surgery (ERAS) programs results in major improvements in clinical outcomes and cost savings, which makes ERAS an important example of value-based care applied to surgery. ERAS practices include: changes from overnight fasting to carbohydrate drinks 2…

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By: Judy Mathias
January 11, 2017
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Joint Commission prohibits secure texting of patient orders

Editor's Note The Joint Commission in December banned the use of secure text messaging to transmit patient orders, the January 9 Becker’s Infection Control & Clinical Quality reports. The Joint Commission collaborated with the Centers for Medicare & Medicaid Services (CMS) to make the following recommendations: Healthcare facilities are prohibited…

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By: Judy Mathias
January 11, 2017
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