ACS launches new career center for surgeons
Editor's Note The American College of Surgeons on September 2 announced the launch of its Surgery Career Connection, a new career center that connects surgeons across all specialties and career stages with employers offering career opportunities. Surgery Career Connection is powered by YourMembership. Among the benefits of the career center:…
Joint Commission announces 2016 ORYX performance measure changes
Editor's Note The Joint Commission announced September 2 that it has made changes to its CY 2016 ORYX performance measure reporting requirements to align with changes made by the Centers for Medicare & Medicaid Services (CMS) Hospital Inpatient quality Reporting Program. The changes include retirement of seven chart-abstracted measures, addition…
Longer colonoscopy time linked to reduced cancer risk
Editor's Note The longer time a screening colonoscopy takes, the less risk of developing cancer within 5 years, this study finds. Patients whose screenings were performed by physicians whose average colonoscopy times lasted less than 6 minutes were twice as likely to develop colon cancer within 5 years as those…
Standardized approach for preop chlorhexidine showers reduces SSIs
Editor's Note A standardized process of dose, duration, and timing for preoperative showers with 4% chlorhexidine gluconate maximizes the benefit of the shower as an effective risk reduction strategy for surgical site infections, finds this study. The process includes: 118 mL of aqueous 4% chlorhexidine gluconate per shower a minimum…
TAVR is safe, effective in nonagenarians
Editor's Note Patients age 90 years and older with aortic stenosis can benefit from transcatheter aortic valve replacement (TAVR), this study finds. TAVR patients had a comparable risk of mortality as those who did not have the procedure, and quality of life improved within 6 months.
MI risk increases after total joints
Editor's Note Total knee and total hip arthroplasties are associated with a substantially increased risk of myocardial infarction during the first postoperative month, finds this study. The MI risk gradually declined overtime, but the risk for venous thromboembolism remained years after the procedure. The study included 40,000 patients, half of…
ASCs face Medicare reimbursement challenges
Editor's Note The gap in Medicare reimbursement rates between ASCs and hospital outpatient departments continues to grow, the Wisconsin Health News reports. Reimbursement rates for hospital outpatient departments are updated using the hospital market basket, but rates for ASCs are updated with the consumer price index. The result is that…
Effect of surgeon sleep loss on patient outcomes
Editor's Note The risk of adverse outcomes in patients having elective daytime surgical procedures was similar whether the surgeon performed surgery the night before or not, this study finds. There were no significant differences in patient mortality, readmission, or complications when surgeons worked after midnight, compared to when surgeons did…
Sentinel events reviewed by the Joint Commission, 1995-2015
Editor's Note The Joint Commission reviewed 9,119 sentinel events from 1995 through the second quarter of 2015. They included: 1,162—wrong-patient, wrong-site, wrong-procedure 1,037—unintended retention of a foreign body 1,013—delay in treatment 884—op/postop complication 228—medical-equipment related 182—infection-related event 130—fire 109—anesthesia-related event.
Joint Commission identifies top five challenging requirements
Editor's Note The Joint Commission has identified five requirements for accreditation that healthcare organizations were most frequently found as “non compliant” during surveys and reviews from January 1 to June 30, 2015. They are: Laboratory and Point-of-Care Testing QSA.01.01.01: The laboratory participates in Centers for Medicare & Medicaid Services approved…
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- Surgical robotics market accelerates as new players challenge industry giants
- Robotic surgery boosts 3-year relapse-free survival in rectal cancer
- Low-cost simulation helps surgical trainees practice crisis skills for major hemorrhage
- Nurse leaders weigh in on NCLEX pass rate decline, impact on workforce readiness
- FDA issues early alerts on multiple high-risk device recalls from J&J, Medtronic, Baxter, Boston Scientific
- New UCSF measure shows 1 in 60 cesarean deliveries involve serious surgical complications
- Hospitals can curb costly post-acute discharges with targeted periop programs, study finds
- Sameness in nursing care puts patients at risk
- CMS’s plan to phase out inpatient-only list could bolster rural ASCs
- AAAHC unveils v44 standards to sharpen focus on patient-centered ambulatory care