Surgical/Anesthesia

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June 2018
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Military-civilian partnership creates first fully integrated trauma system

Editor's Note The American College of Surgeons on May 23 announced that a partnership between the Military Health System and civilian trauma institutions is underway to create the first fully integrated military-civilian trauma system. The system will train military surgeons before deployment, help surgeons retain skills while deployed, and bring…

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By: Judy Mathias
May 24, 2018
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AVATS an option for lung cancer deemed inoperable

Editor's Note Awake video assisted thoracic surgery (AVATS) performed with local anesthesia and sedation allows for resection of lung cancers previously deemed inoperable because of a patient’s poor pulmonary function, finds this study presented May 23 at the American Thoracic Society International Conference in San Diego. For the study, 246…

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By: Judy Mathias
May 24, 2018
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Prevalence of regional anesthesia use in outpatient surgery

Editor's Note Though the overall frequency of peripheral nerve block use in outpatient surgery is low, regional anesthesia offers significant positive effects for postoperative outcomes and hospital efficiency metrics, this study finds. Of 12,911,056 outpatient surgical procedures in the National Anesthesia Clinical Outcomes Registry, 3,297,372 (25.5%) were amenable to a…

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By: Judy Mathias
May 22, 2018
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New formulation of bupivacaine does not reduce opioid use after TKA

Editor's Note Contrary to what some studies are suggesting, use of the local anesthetic liposomal bupivacaine as part of a multimodal approach to postoperative pain did not reduce in-hospital opioid use or opioid-related complications after total knee arthroplasty (TKA) in this study. Researchers analyzed data on 88,830 TKAs performed with…

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By: Judy Mathias
May 21, 2018
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Statewide safety program sharply reduces colorectal SSIs

Editor's Note A Hawaii statewide collaborative for surgical patient safety successfully reduced colorectal surgical site infections (SSIs) and improved patient safety culture, finds this study. Between January 2013 and June 2015, Hawaii’s 15 hospitals implemented the Agency for Healthcare Research and Quality’s (AHRQ’s) Comprehensive Unit-based Safety Program (CUSP) in addition…

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By: Judy Mathias
May 18, 2018
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From Surgeon-Centered to Patient-Centered: Discharge Instructions are the Lifeline to Improving Patient Care

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Surgical Council facilitates service line moves between hospitals

To improve healthcare delivery and eliminate duplication, hospitals are banding together into systems in which specialties such as labor and delivery and smaller surgical cases are performed at satellite hospitals, and larger, more complex procedures are done at the main campus. This is the approach taken at the Cleveland Clinic,…

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By: Judith M. Mathias, MA, RN
May 18, 2018
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Opioid prescriptions drop after orthopedic team changes protocol

Can hospital leaders and surgeons partner to reduce opioid use while maintaining high patient satisfaction scores? Leaders at OSS Orthopaedic Hospital in York, Pennsylvania, answer that question with a yes. Meghan McNelly, PharmD, MHA, FACHE, who was director of pharmacy at OSS when the opioid-reduction project started, says that from…

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By: Cynthia Saver, MS, RN
May 18, 2018
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Planning eases compliance with CMS emergency preparedness rules

As of November of 2017, healthcare providers—including ambulatory surgery centers (ASCs)—receiving reimbursement from the Centers for Medicare & Medicaid Services (CMS) were expected to comply with the 2016 Emergency Preparedness Requirements. And as with most government regulations, there are multiple pages of instructions to dissect and understand to satisfy the…

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By: Janet M. Boivin, BSN, BSJ, RN
May 18, 2018
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Joint Commission reduces requirements applicable to telehealth services in ambulatory care

Editor's Note The Joint Commission on May 16 announced that approximately 25% of applicable elements of performance (EPs) in its ambulatory care program will no longer apply to organizations that primarily provide surgical and nonsurgical services via a telehealth platform. Among the reductions: 12 EPs in the Environment of Care…

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By: Judy Mathias
May 17, 2018
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Homeless veterans at increased risk of postop readmission

Editor's Note For veterans having surgical procedures performed in the VA healthcare system, homelessness is an important risk factor for unplanned readmission, finds this study. Analyzing 232,373 surgical procedures performed on 199,879 patients, researchers found that 5,068 of the procedures were performed on homeless patients. The rate of readmission within…

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By: Judy Mathias
May 16, 2018
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Back to the Basics: The Key to PACU Patient and Staff Satisfaction

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