Get some insight on SSI epidemiology in Wednesday’s presentation
Editor's Note During Wednesday’s luncheon at the OR Manager Conference, Ann Marie Pettis, BSN, RN, CIC, director of infection prevention at University of Rochester Medical Center, will share best practices in surgical site infection (SSI) prevention for perioperative leaders. Pettis believes SSIs are a true burden in US healthcare, and…
Novel model predicts readmission risk
Editor's Note A novel model by researchers from the Massachusetts General Hospital, Boston, uses natural language processing to predict readmission risk by incorporating physical function, cognitive status, and psychosocial support--three areas that may impact readmission but are poorly captured with structured data sources. The final model had 16 variables, a…
ACS launches new website on bleeding control
Editor's Note The American College of Surgeons (ACS) and the Hartford Consensus on September 16 announced the launch of a new website designed to assist the public and first responders in the event of a mass casualty or other bleeding control emergency. The website, BleedingControl.org, contains diagrams, videos, and other…
CMS: Final rule establishes emergency preparedness requirements
Editor's Note The Centers for Medicare & Medicaid Services (CMS) on September 16 released its final rule on “Emergency preparedness requirements for Medicare and Medicaid participating providers and suppliers.” The rule establishes requirements to plan for natural and man-made disasters and coordinate with federal, state, tribal, regional, and local emergency…
10-year outcomes after different treatments for prostate cancer
Editor's Note At 10 years, prostate cancer mortality was low irrespective of the treatment, and with no significant difference among monitoring (1.5 deaths/1,000 person years), surgery (0.9/1,000), or radiotherapy (0.7/1,000), finds this study. Radical prostatectomy and external beam radiotherapy were associated with lower incidences of disease progression and metastases than…
Burnout increases after patient safety incident
Editor's Note Physicians and nurses involved in a patient safety incident experience significant negative outcomes, this study finds. Of 5,788 nurses and physicians analyzed, 9% had been involved in an incident during the prior 6 months. Involvement in a patient safety incident was linked to: a greater risk of burnout…
CMS: Readmissions fall by more than 500,000
Editor's Note The Centers for Medicare & Medicaid Services (CMS) on September 13 announced that 30-day patient readmissions fell by an estimated 565,000 over 5 years, from 2010 to 2015. Rates declined by more than 5% in 43 states and by more than 10% in 11 states. The only state…
Association between TAVR and endocarditis, mortality
Editor's Note In this study of patients having transcatheter aortic valve replacement (TAVR), younger age, male gender, history of diabetes, and moderate to severe residual aortic regurgitation were significantly associated with an increased risk of infective endocarditis. Patients who developed endocarditis had high rates of in-hospital and 2-year mortality. Of…
Computer algorithm shows need for high-volume care for heart, lung transplant patients
Editor's Note Using a computerized mathematical model, Johns Hopkins researches investigated whether they could improve heart and lung transplants by transferring patients from low- to high-volume transplant centers. Among the findings: For heart transplants, 10 lives were saved after one center closure, and 240 lives were saved after up to…
Public wants 16-hour shifts for residents
Editor's Note A total of 86% of general public respondents to a national survey want 16-hour shifts for first-year residents to remain, and 80% support dropping the maximum shift limit for second-year residents and above from 28 hours to 16 hours. The survey was conducted by Public Citizen, an independent…
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