Surgery/Specialties

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Preop opioid score not linked to adverse outcomes after spine surgery

Editor's Note NarxCare, an opioid-use score based on state prescription databases, is not associated with adverse outcomes or patient satisfaction after elective spine surgery, this study finds. Multivariate logistic regression analysis of 346 elective spine surgery patients did not find statistically significant odds of experiencing adverse events, readmissions, reoperations, and…

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By: Judy Mathias
July 31, 2019
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Coffee lets colorectal surgery patients recover, go home faster

Editor's Note Postoperative coffee intake after elective laparoscopic colorectal resection leads to a faster recovery of bowel function and decreases hospital length of stay, this study from Switzerland finds. A total of 115 patients were randomly assigned to the intervention group (56) receiving coffee or the control group (59) receiving…

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By: Judy Mathias
July 30, 2019
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US News publishes 2019-2020 top hospitals list

Editor's Note The US News & World Report on July 30 released its 2019-2020 Best Hospitals Honor Roll. The top five are: Mayo Clinic, Rochester, Minn Massachusetts General Hospital, Boston Johns Hopkins Hospital, Baltimore Cleveland Clinic New York-Presbyterian Hospital/Columbia and Cornell, New York City. In the specialty rankings: University of…

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By: Judy Mathias
July 30, 2019
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Study debunks ‘July Effect’ in cardiac surgery

Editor's Note The “July Effect”−the idea that more errors occur in July because of the influx of new interns and residents starting their in-hospital training−does not apply to cardiac surgery, this study finds. For more than 470,000 cardiac procedures analyzed (coronary bypass, aortic valve, mitral valve, thoracic aortic aneurysm), in-hospital…

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By: Judy Mathias
July 25, 2019
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FDA: Class I recall of Getinge’s Maquet/Datascope intra-aortic balloon pumps

Editor's Note The Food & Drug Administration on July 23 identified the recall by Getinge of its Maquet/Datascope intra-aortic balloon pumps (IABPs) as Class I, the most serious. Recall of the Cardiosave Hybrid, Cardiosave Rescue, CS300, and CS 100/100i IABPs was initiated because of reports of the IABP batteries failing…

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By: Judy Mathias
July 24, 2019
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Legal and ethical questions temper excitement about AI--Part 2

As part of a special series on artificial intelligence (AI), OR Manager is taking a deep dive into the many facets of this new technology and its impact on patient care. In this issue we continue our examination of the challenges related to AI, which began in last month’s issue…

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By: Cynthia Saver, MS, RN
July 24, 2019
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Innovative technology and surgical procedures, including artificial intelligence, will be explored in depth during the OR Manager Conference, September 18-20 in New Orleans. The new OR of the Future gives attendees a unique opportunity to learn through interactive experiences, educational sessions, and discussions with leading experts: product manufacturers as well…

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By: Cynthia Saver, MS, RN
July 24, 2019
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Consider all angles when choosing AI technology

This article concludes OR Manager’s special series on artificial intelligence (AI). Parts 1 and 2 (May 2019 and June 2019) introduced AI, defining the different types of technology and describing its many current and potential applications for surgery. The series also presented examples of AI (June and July 2019). We…

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By: Cynthia Saver, MS, RN
July 24, 2019
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Facilitate and innovate: Ensuring speedy but safe product reviews

Surgeons are the biggest factor in any effort to streamline and standardize the purchase of new surgical devices—and thereby lower costs. But surgeons often balk at getting involved in product review and selection because of the additional demands on their time. Two leading healthcare organizations have moved past this stumbling…

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By: Elizabeth Wood
July 24, 2019
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Tackling the opioid crisis through community teamwork

The opioid epidemic has risen to alarming proportions in the United States, claiming 46,000 lives in 2018. Studies and federal reports documenting evidence of narcotics overuse and addiction in patients have built momentum to curb prescribing habits. Responding to these trends, a Midwestern orthopedic practice launched a multiphase project to…

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By: Jennifer Lubell
July 24, 2019
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