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Reducing OR traffic during total joints lowers SSIs

Editor's Note Implementing strategies to reduce the number of OR door openings during total hip and knee procedures helped lower surgical site infections (SSIs) in this study presented at the 2016 American College of Surgeons National Surgical Quality Improvement Program Conference in San Diego. Strategies included stopping all traffic in…

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By: Judy Mathias
July 19, 2016
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Loss of independence linked to postop readmission, mortality in older adults

Editor's Note Loss of independence in surgical patients 65 years and older was associated with readmission and mortality after discharge, this study finds. The study of more than 5,000 patients found that loss of independence occurred frequently and increased with age. After risk adjustment, loss of independence was significantly associated…

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By: Judy Mathias
July 19, 2016
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Johns Hopkins transitions to all graduate school of nursing

Editor's Note After 30 years, the Johns Hopkins School of Nursing baccalaureate program is ending with its July 22 graduation ceremony. Last fall, Johns Hopkins transitioned to an all-graduate school when it welcomed its first class of the Master of Science in Nursing: Entry into Nursing Practice program. The degree…

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By: Judy Mathias
July 19, 2016
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Study: Blood management guidelines reduce blood use, costs

Editor's Note Improving processes for ordering, transporting, and storing blood at Vanderbilt University Medical Center, Nashville, Tennessee, resulted in $2 million in savings and a 30% reduction in blood utilization in a study presented as a poster presentation at the 2016 American College of Surgeons National Surgical Quality Improvement Program…

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By: Judy Mathias
July 18, 2016
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Surgical comanagement by hospitalists improves outcomes

Editor's Note A surgical comanagement hospitalist program reduced complications, length of stay, 30-day readmissions, number of consultants, and cost of care in this study. There was no significant changed in patient satisfaction and the average savings was $2,642 to $4,303 per patient. This retrospective study by researchers from Stanford University…

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By: Judy Mathias
July 18, 2016
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CMS, FDA advocate for UDI use in insurance billing

Editor's Note The Centers for Medicare & Medicaid Services (CMS) and Food and Drug Administration (FDA) are recommending using unique device identifiers (UDIs) in universal health insurance claims forms to improve value-based reimbursement for medical devices and postmarket surveillance, the July 14 Modern Healthcare reports. Proponents say UDIs could help…

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By: Judy Mathias
July 18, 2016
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Feasibility of postop follow-up with telehealth

Editor's Note Telehealth postoperative follow-up may be feasible for patients having select abdominal, neck, and skin/soft tissue procedures with uncomplicated courses, duration of stay less than 4 days, and no interval contact with the operative team, finds this study. The study included 251 veterans who had general surgery. A total…

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By: Judy Mathias
July 13, 2016
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Patient requests for EHR data on their apps causing concerns

Editor's Note Physicians are trying to adapt privacy concerns and requirements to meet patient requests that electronic health record (EHR) data be sent to their mobile apps, including fitness trackers, according to a report in the July 7 Healthcare IT News. Meaningful use and the Medicare Access and CHIP Reauthorization…

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By: Judy Mathias
July 13, 2016
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Effect of frailty on surgical outcomes

Editor's Note Frailty has a significant impact on postoperative outcomes that varies with procedure, this study finds. Using data on 232,352 patients in the American College of Surgeons National Surgical Quality Improvement Program who had elective, high-risk surgical procedures, multivariate analysis found that frailty was associated with complications, prolonged duration…

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By: Judy Mathias
July 13, 2016
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June healthcare security breaches affect 11 million patient records

Editor's Note June was the worst month of 2016 for healthcare information security, with 29 breaches that affected more than 11 million patient records, the July 7 Healthcare IT News reports. A total of 24 healthcare providers accounted for 86% of the breaches, with three occurring at health plans and…

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By: Judy Mathias
July 13, 2016
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