Editor's Note The Joint commission on January 29 announced a new R3 report detailing changes to the Advanced Certification for Total Hip and Total Knee Replacement program. Effective July 1, there will be 11 new and 11 revised elements of performance (EPs) that will be applicable to all accredited ambulatory…
Editor's Note Cardinal Health is voluntarily recalling 9.1 million potentially contaminated surgical gowns, 7.7 million of which were distributed to 2,807 facilities across the country, the January 22 Becker’s Hospital Review reports. The company took the action after learning of unsanitary environmental conditions at a plant in China that manufacturers…
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…
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…
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…
Editor's Note The Food & Drug Administration (FDA) on January 16 announced that Cardinal Health has alerted it customers to potential quality issues affecting some of its Level 3 surgical gowns and PreSource procedural packs that contain the gowns. Cardinal Health and the FDA recommend that customers immediately discontinue use…
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…
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…
Editor's Note Reproductive hazards are present in the OR and may contribute to pregnancy complications and infertility in female surgeons, this review finds. Hazards include radiation, surgical smoke, working conditions, sharps injuries, anesthetic gases, and intraoperative use of toxic agents. Studies comparing female surgeons with the general population show increased…
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…