Editor's Note Nearly 20% of patients are discharged before all vital signs are stable, which is associated with an increased risk of readmission and death, this study finds. Of 32,835 patients from six Dallas-Fort Worth, Texas, hospitals analyzed, researchers found abnormalities in temperature, heart rate, blood pressure, respiratory rate, and…
Editor's Note Medicare Advantage plans paid hospitals 8% less for hospital services than fee-for-service Medicare in 2009 and 2012, finds this study. Researchers also found that commercial insurers paid hospitals much higher than Medicare Advantage or fee-for-service Medicare. Some of this difference is because of higher prices commercial plans pay…
Editor's Note Medicare’s value-based purchasing (VBP) program revealed superior performance associated with physician owned surgical hospitals in this study. Researchers analyzed 3,089 hospitals that included physician-owned surgical, University HealthSystem Consortium, US News & World Report Honor Roll, Kaiser Permanente, and Accountable Care Organization hospitals. Estimated mean total performance scores were…
Editor's Note Patients in rural hospitals are significantly (14%) more likely than nonrural patients to die after traumatic injuries, this study finds. The disparity was greatest for injuries occurring in the South and Midwest and for cases with an injury severity score of <9 or unknown severity. Distance and time…
Editor's Note The Food and Drug Administration (FDA) on August 8 published draft guidance on when medical device manufacturers and software developers must obtain FDA clearance before making changes to existing products, the August 8 Modern Healthcare reports. The draft says if the “overall structure” of a device’s software is…
Editor's Note Hospitals can avoid medical-surgical patient handoff errors by using a web-based handoff tool to improve communication among physicians, nurses, and other healthcare providers, this study finds. Of 5,407 patients included in the study, 77 errors were detected before implementation of the handoff tool versus 45 after implementation. Brigham…
Editor's Note Technical and nontechnical skills are both important to successfully and safely perform surgical procedures, according to recommendations presented August 5 at the National Surgical Patient Safety Summit in Rosemont, Illinois. Among the recommendations were that the surgeon, anesthesiologist, nurses, and support staff ensure consistent use of surgical safety…
Editor's Note The Food and Drug Administration (FDA) on August 5 reported that Hospira, Inc (Lake Forest, Illinois) is recalling one lot of 0.25% Bupivacaine Hydrochloride Injection, USP (NDC: 0409-1159-02, Lot 59-064-DK, Expiry 1 Nov 2017) because of the presence of particulate matter found in a single vial. The lot…
Editor's Note The Centers for Medicare & Medicaid Services on August 2 issued its final rule for the FY 2017 hospital inpatient prospective payment system (PPS), which increases rates by 0.95%. The 0.95% increase reflects the projected hospital market basket update of 2.7% for those hospitals that were meaningful users…
Editor's Note The American College of Surgeons (ACS) on August 4 issued a Statement on Operating Room Attire for surgeons in and out of the OR. The statement provides detailed guidelines on wearing the skullcap in a way that ensures patient safety, facilitates enforcement of the standard on wearing scubs…
