Performance Improvement

Latest Issue of OR Manager
February 2020
Home Safety/Quality > Quality Improvement > Performance Improvement

Medicare may overpay for postop care

Editor's Note Medicare may be overpaying surgeons for postoperative care they provide to patients, according to a new Rand Corporation analysis in the January 23 New England Journal of Medicine. The authors of the analysis suggest that federal officials should incorporate ways to more objectively measure the amount of postoperative…

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By: Judy Mathias
January 23, 2020
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Examining timing of TKA

Editor's Note The timing of total knee arthroplasty (TKA) is important to optimize its benefits, but 90% of patients are waiting too long to have it and getting less benefits, and some 25% of patients are having it prematurely when the benefits are  minimal, this study finds. Of 3,417 knees…

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By: Judy Mathias
January 23, 2020
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Study: Circadian rhythm involved in healing from surgery

Editor's Note The effectiveness of non-steroidal anti-inflammatory drugs (NSAIDs) in managing pain, healing, and recovery after bone fracture depends on when you take them, this study from McGill University finds. The researchers found that NSAIDs are most effective in promoting postoperative healing when taken during the active phase of the…

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By: Judy Mathias
January 22, 2020
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AHRQ Safety Program for ISCR to include emergency general surgery in 2020

Editor's Note In this article, the American College of Surgeons and the Johns Hopkins Medicine Armstrong Institute for Patient Safety and Quality, which launched the Agency for Healthcare Research and Quality (AHRQ) Safety Program for Improving Surgical Care and Recovery (ISCR) in 2016, announce that they are expanding the scope…

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By: Judy Mathias
January 21, 2020
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Survey: MRI procedures up 8%, AI to improve image quality and workflow

Editor's Note A survey by IMV Medical Information Division finds that the number of MRI procedures performed in the US rose 8% from 39 million in 2018 to an all-time high of some 42 million in 2019, the January 15 AuntMinnie.com reports. A total of 17% of respondents gave high…

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By: Judy Mathias
January 16, 2020
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Virtual physical therapy rehab vs traditional care after TKA

Editor's Note A virtual system for in-home physical therapy (PT) provided similar patient outcomes after total knee arthroplasty (TKA), with lower costs than traditional in-person PT, finds this study. A total of 306 TKA patients were randomly assigned to have traditional PT, either at home or at clinic visits, or…

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By: Judy Mathias
January 16, 2020
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FDA clears Aidoc’s AI system for stroke detection

Editor's Note The Food & Drug Administration has granted 510(k) clearance to Aidoc (Tel Aviv) for its artificial intelligence (AI)-based system for large-vessel occlusion detection−ischaemic strokes that result from a blockage in one of the major arteries of the brain, the January 14 Verdict Medical Devices reports. The system’s AI…

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By: Judy Mathias
January 16, 2020
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Changes in use of bariatric surgery from 1993 to 2016

Editor's Note The safety of bariatric surgery has improved since 1993, and there has been a growth in the number of bariatric procedures performed, this study finds. However, utilization has only marginally increased. Of an estimated 1,903,273 patients who had bariatric surgery between 1993 and 2016, the mean age was…

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By: Judy Mathias
January 14, 2020
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Royal Philips issues urgent safety alert for fluoroscopy system

Editor's Note Royal Philips has issued an urgent field safety notice for its CombiDiagnost R90 GCF fluoroscopy system, the January 10 MassDevice reports. When the tilting feature is used, the device could be locked in a “Table Up/Down” state, an issue that could result in the entry of contrast agent…

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By: Judy Mathias
January 14, 2020
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Trends in robotic surgery for common procedures

Editor's Note This study finds that robotic surgery increased dramatically from 2012 to 2018 and has diffused widely across a broad range of common procedures. This trend was associated with a decrease in the use of open and laparoscopic minimally invasive procedures. In this analysis of 169,404 patients in 73…

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By: Judy Mathias
January 13, 2020
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