Study doesn’t support capnography for colonoscopy
Editor's Note Capnographic monitoring during outpatient colonoscopy with moderate sedation increased costs significantly and did not improve patient safety or satisfaction, this study finds. The analysis included 966 patients (465 without and 501 with capnography) who underwent colonoscopy at the Beth Israel Deaconess Medical Center, Boston. Patients and nurses reported…
AHRQ: New data show 36% increase in mastectomies
Editor's Note Though cancer rates have remained the same, the rate of women having mastectomies increased 36% between 2005 and 2013, according to new data released February 22 by the Agency for Healthcare Research and Quality (AHRQ). The analysis also showed the rate of double mastectomies more than tripling, and…
CMS publishes Medicare fee-for-service provider and supplier lists
Editor's Note As part of efforts to improve care delivery, data sharing, and transparency, the Centers for Medicare & Medicaid Services (CMS) on February 22 published a list of Medicare fee-for-service providers and suppliers currently approved to bill Medicare. The Moratoria Provider Services and Utilization Data Tool includes interactive…
Total joint patients benefit from preop one-on-one education sessions
Editor's Note Total joint patients benefited from preoperative one-on-one educations sessions provided by a physical therapist and access to a custom web portal, in this study presented February 20 at the annual meeting of the American Physical Therapy Association. Researchers from the Hospital for Special Surgery, New York City, followed…
Cost-effectiveness of bariatric surgery before TKR
Editor's Note Bariatric surgery before total knee replacement (TKR) is cost-effective in improving outcomes in obese patients, this study finds. Researchers used a computer software program to compare the cost utility of two treatment protocols for patients who were morbidly obese and had advanced knee osteoarthritis. The model predicted that…
CMS proposes Medicare Advantage changes for 2017
Editor's Note The Centers for Medicare & Medicaid Services (CMS) on February 19 announced proposed changes to the Medicare Advantage program for CY 2017, which would increase payment rates by a net 1.35%, the February 19 Modern Healthcare reports. When factoring in the risk coding tendencies, Medicare Advantage insurers’ revenue…
FDA: Pentax validates reprocessing instructions for ED-3490 TK Video Duodenoscope
Editor's Note The Food and Drug Administration (FDA) on February 19 announced that it had reviewed updated reprocessing instructions and validation data issued by Pentax Medical (Montvale, New Jersey) for its ED-3490 Video Duodenoscope. The FDA recommends that facilities train staff on the updated instructions and implement them as soon…
Stenting and surgery equally effective for stroke
Editor's Note Carotid artery stenting and surgery are equally effective at lowering the long-term risk of stroke, myocardial infarction, or death, finds this study led by researchers from the Mayo Clinic, Jacksonville, Florida. The risk of stroke after either stenting or surgery was about 7%, and the development of restenosis…
California hospital pays hackers $17,000 to unlock EHR
Editor's Note Hollywood Presbyterian Medical Center paid hackers who infiltrated and disabled their electronic health record (EHR) a $17,000 ransom to unlock their system, the February 18 Modern Healthcare reports. Administrators at the Los Angeles hospital said they paid the ransom because it was the quickest and most efficient way…
FDA: Baxter recalls one lot of 0.9% Sodium Chloride Solution for Irrigation
Editor's Note The Food and Drug Administration on February 18 announced the recall by Baxter (Deerfield, Illinois) of one lot of 0.9% Sodium Chloride Irrigation, USP, 500 mL, plastic pour bottle solution—Lot G120162, expiration 11/30/2018. The solution is being recalled because of a customer complaint of the presence of particulate…
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