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SmartTots updates consensus statement on anesthesia safety in young children

Editor's Note SmartTots on October 13 released an updated “Consensus Statement On the Use of Anesthetic and Sedative Drugs in Infants and Toddlers.” There is growing evidence from animal studies and observational studies in humans suggesting that adverse effects on behavior, learning, and memory may result from exposure to anesthetics…

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By: Judy Mathias
October 14, 2015
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Same day surgery process for total joints

Editor's Note Thomas King, MD, an orthopedic surgeon at the Knee, Hip & Shoulder Center, Portsmouth, New Hampshire, has developed a process for total knee and hip replacements that allows many patients to leave the same day after surgery. He uses a combination of a minimally invasive technique, regional anesthesia,…

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By: Judy Mathias
October 14, 2015
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Price increases much lower in ASCs than hospital outpatient departments

Editor's Note For six outpatient surgical procedures, prices paid to ASCs grew in line with general medical prices, whereas prices paid to hospital outpatient departments for the same procedures climbed sharply, this study finds. Private insurers paid ASCs considerably more than Medicare for the same procedures. Medicare pays ASCs a legislated…

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By: Judy Mathias
October 14, 2015
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Validity of CAUTI metric used for value-based purchasing questioned

Editor's Note Two different measurement systems are used to track performance in lowering the rate of catheter-associated urinary tract infections (CAUTIs). The Agency for Healthcare Research and Quality metric has shown a 28.2% decrease in CAUTIs since 2010, whereas the Centers for Disease Control and Prevention’s metric has shown a…

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By: Judy Mathias
October 13, 2015
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Use of data set to assess risk of sharps-related blood and body fluid exposure

Editor's Note In this study from Duke University, Durham, North Carolina, researchers used a unique multicomponent administrative data set to examine the risk of percutaneous blood and body fluid exposures in the OR over a 10-year period. Of some 333,000 surgical procedures performed, 2,113 blood and body fluid exposures were…

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By: Judy Mathias
October 13, 2015
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OIG warns against using EHRs to block information

Editor's Note An Office of Inspector General (OIG) alert reminds healthcare professionals and hospitals that information blocking in health information technology (IT) is a problem, and steps to prevent interoperability of an electronic health record (EHR) platform or services with other IT systems is not subject to safe harbor protections…

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By: Judy Mathias
October 12, 2015
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Suicide attempts increase after bariatric surgery

Editor's Note Bariatric surgery patients were at a much higher risk of suicide after surgery than before, in this study. Of 8,815 patients included in the study, 111 had 158 self-harm emergencies during follow-up. Overall, self-harm significantly increased postoperatively (3.63/1,000 patient years) compared with preoperatively (2.33/1,000 patient years). Self-harm emergencies…

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By: Judy Mathias
October 12, 2015
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Magnet hospitals associated with better patient experience

Editor's Note Magnet recognition is associated with better patient care experiences, which may enhance reimbursement for hospitals, this study finds. Nurse researchers compared 212 Magnet hospitals with 212 non-Magnet hospitals. Patients in Magnet hospitals gave their hospitals higher overall ratings, were more likely to recommend their hospitals, and reported more positive…

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By: Judy Mathias
October 9, 2015
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Electronic tracking system reduces blood transfusions, infections

Editor's Note An electronic blood tracking system that monitors how physicians prescribe postoperative blood transfusions significantly reduced the amount of blood patients receive and cut infection rates in half, according to a study presented October 7 at the 2015 Clinical Congress of the American College of Surgeons in Chicago. The…

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By: Judy Mathias
October 9, 2015
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ASCs report high use of Safe Surgery Checklist

Editor's Note The Centers for Medicare & Medicaid Services on October 8 released data showing that 99% of Medicare-certified ambulatory surgery centers (ASCs) use a Safe Surgery Checklist, the ASC Association reports. The data was collected in 2012 and made public on Medicare’s Hospital Compare website. Today, the Centers for…

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By: Judy Mathias
October 9, 2015
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