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March 2020
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Effect of total joint bundled payment program on patient selection

Editor's Note In this study, researchers found little to no significant change in the characteristics of patients having total hip and knee replacement surgery after the Centers for Medicare & Medicaid Services introduced the mandatory bundled payment programs in selected metropolitan statistical areas. The analysis included a matched set of…

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By: Judy Mathias
February 24, 2020
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CMS proposes changes to total joint bundled payment program

Editor's Note The Centers for Medicare & Medicaid Services (CMS) on February 20 issued a rule proposing changes to the Comprehensive Care for Joint Replacement (CJR) program, which bundles payments to acute care hospitals for hip and knee replacement surgical procedures. CMS proposes extending the CJR model for an additional…

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By: Judy Mathias
February 24, 2020
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Nuts and bolts of new technology acquisition--Part 2

Technology acquisitions require OR leaders to weigh the competing demands of stakeholders—including physicians, nursing staff, the finance department, and patients—and to make sure they address those demands when justifying a new purchase. “New technology can be what’s needed to keep competitive in the current environment,” says Beth Bozzelli, MBA, RN,…

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By: Cynthia Saver, MS, RN
February 21, 2020
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Back to basics: How collaboration can improve PACU patient flow

Healthcare technology can be a great thing, but nurses at Abington—Jefferson Health, in Abington, Pennsylvania, have discovered that sometimes stepping back from it is the best way to make progress. Going low-tech was the key that unlocked patient flow gridlock that had plagued the postanesthesia care unit (PACU). Before 2017,…

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By: Catherine Spader, RN
February 21, 2020
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Using project management principles to hardwire ERAS protocols

Implementation of Enhanced Recovery After Surgery (ERAS) at Virginia Commonwealth University (VCU) Health System in Richmond has been achieved through project and change management tools that transform the current state to the desired future state. To hardwire ERAS protocols in the OR as well as the ambulatory and acute care…

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By: OR Manager
February 21, 2020
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Use of internationally educated nurses in US hospitals

Editor's Note US hospitals with more internationally trained nurses have more stable, educated, nursing workforces, and collaboration among healthcare professionals is not hindered, this study finds. Researchers analyzed 2013 survey data from the National Database of Nursing Quality Indicators that included responses from 24,045 nurses (2,156 were trained outside the…

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By: Judy Mathias
February 20, 2020
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Association of geriatric-specific characteristics with postop readmissions

Editor's Note In this study from the University of Virginia, new geriatric-specific characteristics were found to raise the risk of elderly surgical patients having unplanned readmissions within a month of leaving the hospital. The four geriatric-specific risk factors for readmission include: cognitive impairment requiring another person to sign the patient’s…

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By: Judy Mathias
February 19, 2020
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Implications of the rapid growth of NPs in the US workforce

Editor's Note Concerns about physician shortages have led policy makers to advocate for the greater use of nurse practitioners (NPs). From 2010 to 2017, the number of NPs more than doubled from 91,000 to 190,000, this analysis finds. The growth of NPs, which occurred in every region of the US,…

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By: Judy Mathias
February 13, 2020
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Association of surgical jackets, bouffant head covers with SSIs

Editor's Note Long sleeved surgical jackets and bouffant head covers are neither beneficial nor cost-effective in preventing surgical site infections (SSIs), this study finds. A total of 34,042 inpatient surgical procedures performed at the University of Alabama at Birmingham Hospital were analyzed during three periods between January 2017 and October…

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By: Judy Mathias
February 12, 2020
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FDA: Coronavirus hasn’t led to drug, device shortages, but situation fluid

Editor's Note The Food & Drug Administration (FDA) Commissioner Stephen Hahn says there have been no drug or medical device shortages reported in the US so far amid the coronavirus outbreak, but the situation remains fluid, the February 7 Politico reports. The FDA has pulled its inspectors from China, and…

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By: Judy Mathias
February 12, 2020
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