Surgery/Specialties
OR tops the chart for MD satisfaction
What does it take for an OR to get to the top of the chart in physician satisfaction? Baptist Medical Center Beaches, a 146-bed hospital serving the coastal communities of Jacksonville, Florida, scored in the 99th percentile for physician measures in a Press Ganey survey, one of the highest scores…
Shortage of general surgeons coming?
Will there be enough general surgeons to meet the needs of an aging population? How will the supply affect hospital ORs? Findings from a new study suggest the nation could be facing a shortage. The number of general surgeons per 100,000 Americans has fallen by more than 25% over the…
A year in a new OR, happy with the result
After 5 years of planning, Saint Joseph Mercy Hospital in Ann Arbor, Michigan, opened its 18 new ORs in November 2006. A year later, physicians, staff, and the project team are happy with the outcome—a sign of success in the planning and design process. The new ORs and postanesthesia care…
Orthopedic navigation: Questions about long-term results and costs
Like a car's global positioning system (GPS), computer-assisted surgical navigation helps orthopedic surgeons get their bearings. A navigation system receives and transmits data about joint surfaces and placement of implants, displaying the information on a computer screen where the surgeon can view it. An image from the BrainLab VectorVision navigation…
Spinal fusion under the microscope
Lumbar fusion has grown rapidly, skyrocketing by more than 250% in the past 20 years. Costs have risen even faster, by more than 500% in Medicare patients alone, according to a recent study from Dartmouth. Lumbar fusion accounts for almost 50% of all back surgery performed in the US. Now…
Historic 5-way domino kidney swap
Asimultaneous quintuple kidney transplant took place at Baltimore's Johns Hopkins Hospital on Nov 14, 2006. The historic event was made possible by a kidney swap involving 4 transplant candidates who each had a relative willing to donate a kidney and a fifth candidate who matched a donor who had offered…
Rare but deadly complication of bone cement
Patients having hip replacement surgery can in rare cases develop bone cement implantation syndrome (BCIS). In 5 out of 6 reports of the syndrome received by the Pennsylvania Patient Safety Authority the patient died from cardiac arrest associated with the implantation of the new prosthesis. Though use of cement for…
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