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Comparative effectiveness of prostate cancer treatments

Editor's Note At 10 years, prostate cancer mortality was low irrespective of the treatment and with no significant difference among treatments, this study finds. Treatments included active monitoring (1.5 deaths/1,000 person years), radical prostatectomy (0.9 deaths/1,000 person years), and external-beam radiotherapy (0.7 deaths/1,000 person years). Surgery and radiotherapy were associated…

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By: Judy Mathias
October 13, 2016
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Joint Commission seeking input on HAI revisions

Editor's Note The Joint Commission announced October 12 that it is seeking input on proposed revisions to its National Patient Safety Goals on healthcare associated infections (HAIs) for ambulatory care and office-based surgery and hospitals and critical access hospitals. The proposed revisions address surgical site infections and central line-associated blood…

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By: Judy Mathias
October 13, 2016
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Casting vs surgery for ankle fractures in older adults

Editor's Note In older adults with unstable ankle fractures, close contact casting compared with surgery resulted in similar functional outcomes at 6 months, this study finds. The study, which included 620 patients (309 surgery, 311 casting) from 24 hospitals, found that postfracture symptoms, quality of life, pain, ankle motion, and…

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By: Judy Mathias
October 12, 2016
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FDA issues Safety Alert for St Jude defibrillators

Editor's Note The Food and Drug Administration on October 11 issued a Safety Alert for implantable cardioverter defibrillators (ICDs) and cardiac resynchronization therapy defibrillators (CRT-Ds) by St Jude Medical (Little Canada, Minnesota). In some cases, full battery drainage can occur in a day to a few weeks after the patient…

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By: Judy Mathias
October 12, 2016
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CMS launches new Twitter account

Editor's Note The Centers for Medicare & Medicaid Services (CMS) on October 12 launched a new Twitter account, which will be led by the Media Relations Group in Washington, DC. @CMSgovPress will promote CMS news as it happens, offering members of the media and the public the opportunity to receive…

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By: Judy Mathias
October 12, 2016
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Factors in sustaining Magnet designation

Editor's Note Transformational nursing leaders lead high-performing teams and should be in place at all levels as an essential factor of Magnet sustainability, according to this study. Only 10% of Magnet hospitals sustain designation for 12 years or longer. Researchers identified patterns of high-performing behaviors and explored the perspective of…

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By: Judy Mathias
October 11, 2016
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Hospital consumer ranking systems based on faulty data

Editor's Note More transparency and validation are needed for consumer-based benchmarking methods, this study finds. Researchers evaluated differences between Centers for Medicare & Medicaid Services measured rates of safety events for Rush University Medical Center, Chicago, and the US News & World Report determined patient safety scores. Discrepancies were found…

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By: Judy Mathias
October 11, 2016
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Half of physicians dissatisfied

Editor's Note A new survey by The Physicians Foundation finds that half of physicians have reached a tipping point and plan to retire, cut back on work hours, or seek nonclinical roles. Physicians identified regulatory/paperwork burdens and loss of autonomy as the primary sources of their dissatisfaction. Nearly 60% say…

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By: Judy Mathias
October 11, 2016
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Optimizing pain control and rehab after total knee

Editor's Note This study found no clinically significant differences between continuous femoral nerve block (cFNB), local infiltration analgesia (LIA), and single femoral nerve block (sFNB) for pain during physical therapy 2 days after total knee arthroplasty. There were no statistically significant differences between groups in 48-hour opioid consumption or functional…

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By: Judy Mathias
October 10, 2016
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Survey: EHRs increase costs, reduce productivity

Editor's Note A Deloitte survey of physicians found that three out of four believe electronic health records (EHRs) increase practice costs, which outweigh any efficiency savings, and seven out of 10 say EHRs reduce their productivity, the October 3 Healthcare Informatics reports. Nearly two-thirds (62%) of respondents want EHRs to…

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By: Judy Mathias
October 10, 2016
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