Surgical/Anesthesia

Latest Issue of OR Manager
June 2019
Home Surgical/Anesthesia

Physician well-being and burnout improving, but increased burnout risk remains

Editor's Note Though physician burnout and satisfaction with work-life integration are improving, physicians remain at high risk for burnout, compared to workers in other fields, this study finds. Researchers from the Mayo Clinic, Stanford University, and the American Medical Association surveyed 30,456 US physicians in more than 20 specialties; 5,197…

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By: Judy Mathias
February 26, 2019
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ASCA: CMS makes minor changes to Emergency Preparedness requirements for ASCs

Editor's Note The Ambulatory Surgery Center Association (ASCA) on February 26 announced that the Centers for Medicare & Medicaid Services (CMS) released a Memorandum Summary with updates to Appendix Z of the State Operations Manual, which outlines the Emergency Preparedness requirements for CMS providers and suppliers. The primary change that affects…

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By: Judy Mathias
February 26, 2019
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Predictors of loss of independence after hip fracture repair

Editor's Note Age 50 to 80 years was a strong predictor of returning to independent living and walking 1 year after hip fracture surgery in this study. Of 600 patients aged 50 and older included in the study, 3.07% aged 50 to 80 years were living in an institution 1…

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By: Judy Mathias
February 26, 2019
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Unnecessary UTI testing cut by 45%

Editor's Note Making a simple change to the electronic system used by physicians to order urine tests can cut by 45% the number of bacterial cultures ordered without compromising the identification of patients who need treatment for urinary tract infections (UTIs), this study finds. In this analysis of 18,954 patients…

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By: Judy Mathias
February 25, 2019
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Mortality rates lower in areas with more primary care physicians

Editor's Note Communities in the US with more primary care physicians had lower mortality rates than those with fewer physicians, this study finds. Results showed a: 51.5 day increase in life expectancy for every 10 additional primary care physicians per 100,000 people 19.2 day increase in life expectancy for every…

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By: Judy Mathias
February 21, 2019
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Joint Commission seeking comments on proposed EP for office-based surgery practices using fluoroscopy

Editor's Note The Joint Commission on February 20 announced that it is seeking comments on a proposed element of performance (EP) for office-based surgery practices that provide fluoroscopy services. The new requirement−Environment of Care (EC) standard EC.02.02.01−addresses the monitoring of radiation exposure badges. The deadline for comments is March 29.

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By: Judy Mathias
February 21, 2019
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OSA screening boosts patient safety and bottom line

An estimated 22 million people in the US have obstructive sleep apnea (OSA), but up to 80% of cases are undiagnosed, and some 30% to 40% of the surgical population has diagnosed or suspected sleep apnea. More than 3 years ago, the Joint Commission issued a Quick Safety document about…

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By: OR Manager
February 20, 2019
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ASCs react to 2019 regulatory changes

Each year, ambulatory surgery centers (ASCs) adapt to numerous federal regulatory policy reforms. As an example, since 2012, when the Centers for Medicare & Medicaid Services (CMS) launched the Ambulatory Surgery Center Quality Reporting (ASCQR) Program ASCs had been asking for, ASCs have reported data for a changing set of…

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By: Judith M. Mathias, MA, RN
February 20, 2019
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Factors linked to functional recovery of geriatric major surgery patients

Editor's Note In this prospective study, nonfrailty and elective surgery were positively associated with functional recovery of older patients after major surgery. Of 754 community-living patients 70 years or older who were analyzed, 266 survived major surgery with increased disability and were monitored for 6 months. A total of 174…

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By: Judy Mathias
February 19, 2019
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FDA: Class I recall of Medtronic’s Dual Chamber Implantable Pulse Generators

Editor's Note The Food & Drug Administration (FDA) on February 15 identified Medtronic, Inc’s (Dublin, Ireland) recall of it’s Dual Chamber Implantable Pulse Generators (IPGs) as Class I, the most serious. The recall was initiated because of the possibility of a software error that can result in a lack of…

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By: Judy Mathias
February 19, 2019
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