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Effect of intraop adverse events on outcomes

Editor's Note Intraoperative adverse events are independently associated with substantial increases in 30-day postoperative mortality, morbidity, and prolonged length of stay in abdominal surgery patients, this study finds. Postoperative complications associated with intraoperative adverse events included deep/organ-space surgical site infections, sepsis, pneumonia, and failure to wean from ventilator. Of 9,288…

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By: Judy Mathias
November 15, 2016
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Surgical residents prefer flexible work hours

Editor's Note This study finds that general surgery residents strongly prefer work hour policies that allow them the flexibility to work longer hours when needed to provide patient care over the standard, more restrictive work schedules required by the Accreditation Council for Graduate Medical Education. The preference for flexibility becomes…

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By: Judy Mathias
November 15, 2016
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New RBC treatment may reduce transfusion side effects

Editor's Note Pretreating red blood cells (RBCs) with nitric oxide may reduce the risk of pulmonary hypertension, a dangerous side effect of transfusions, finds this study. The Food and Drug Administration allows transfusion of RBCs that have been stored for 42 days. However, recent studies suggest that transfusion of RBCs…

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By: Judy Mathias
November 15, 2016
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Heater-cooler devices linked to Mycobacterium chimaera outbreak

Editor's Note A global outbreak of Mycobacterium chimaera has been linked to heater-cooler devices used in cardiac surgery, this study finds. Investigators found M chimaera in heater-cooler device water circuits and air samples while the devices were running, suggesting airborne transmission from the device to the surgical site. New heater-cooler…

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By: Judy Mathias
November 14, 2016
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Study: Total hip outcomes are gender specific

Editor's Note Total hip outcomes such as pain, function, range of motion, and strength are different for men and women, which could lead to gender-specific rehabilitation programs, finds this study presented November 9 at the 2016 ACR/ARHP [American College of Rheumatology/Association of Rheumatology Health Professionals] Annual Meeting. Researchers from the…

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By: Judy Mathias
November 14, 2016
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Use of 3D printing increasing in radiology

Editor's Note Though the use of 3D printing is not new in radiology, its adoption has increased as the technology has matured, the November 9 Health Data Management reports. The value of the printer is the ability to create a model of a body part before a surgical procedure−to hold…

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By: Judy Mathias
November 14, 2016
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Study links antibiotic resistance to chlorhexidine

Editor's Note This study from the UK is the first to link antibiotic resistance with exposure to the disinfectant chlorhexidine. In five of six strains of Klebsiella pneumoniae exposed to chlorhexidine-containing disinfectants in the laboratory, adaptation to chlorhexidine led to resistance to the last resort antibiotic colistin. The risk of…

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By: Judy Mathias
November 9, 2016
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Joint Commission report shows improvement in patient safety, quality

Editor's Note The Joint Commission on November 7 released its 2016 Annual Report: “America’s Hospitals: Improving Quality and Safety.” The report, which includes information on how more than 3,300 accredited hospitals performed on measures of patient care in 2015, showed that hospital performance continued to improve, greatly enhancing quality of…

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By: Judy Mathias
November 9, 2016
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ECRI Institute white paper on staffing and scheduling

Editor's Note The ECRI Institute has issued a white paper titled, “Responsive staffing and scheduling in aging services: A systems rethinking approach.” Problems in staffing and scheduling can lead to potentially dangerous conditions, which can cause performance gaps in delivery of care and services. To better address these problems, providers…

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By: Judy Mathias
November 9, 2016
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Association between intraop hypothermia and SSIs

Editor's Note This study from the Mayo Clinic found that intraoperative hypothermia was not significantly associated with surgical site infections (SSIs). Among the findings: Compliance with Surgical Care Improvement Project Performance Measure “Surgery Patients with Perioperative Temperature Management” (SCIP-Inf-10) overall and its components (maintenance of minimum body temperature and use…

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By: Judy Mathias
November 7, 2016
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