Study: Machine learning quadruples delirium detection in hospitalized older adults
Editor's Note A machine learning (ML) model that integrates clinical data with natural language processing significantly improved detection and management of hospital delirium in older adults. Results were published May 7 in JAMA Network Open. Conducted at Mount Sinai Hospital, the quality improvement study evaluated the association of an ML-based…
Study: Longer shifts, understaffing increase nurse sickness absence
Editor's Note Hospital units with more RNs and fewer long shifts experience significantly lower rates of staff sickness absence, while understaffing and long shifts drive nurse illness, according research published April 22 in JAMA Network. The retrospective longitudinal case-control study involved 18,674 RNs and nursing support (NS) staff across 116…
Study: US maternal mortality rises 28% in 5 years, inequities persist
Editor's Note Pregnancy-related deaths in the US rose sharply from 2018 to 2022, with rates 3.8 times higher among American Indian and Alaska Native women and 2.8 times higher among non-Hispanic Black women than among White women, according to a new study published April 9 in JAMA Network Open. Researchers…
Study: Early-stage breast cancer surgery may not be necessary after chemo, radiation
Editor's Note Some patients with early-stage breast cancer who achieve a complete response to pre-surgical chemotherapy and radiation may safely avoid surgery, according to a March 27 announcement from The University of Texas MD Anderson Cancer Center. The report details a Phase II trial, published in JAMA Oncology, finding that…
Study: Implicit bias linked to low-value vascular procedures, worse outcomes for Black patients
Editor's Note Reducing the negative influence of implicit bias requires system-level interventions to ensure procedures align with best practices for all patients, according to results of new research on outcomes for vascular surgery patients. Published February 26 in JAMA Surgery, the study showed that implicit racial bias among vascular specialists…
Study: Weekend effect raises risk of surgical patient mortality, complications
Editor's Note A March 4 study in JAMA Network Open underscores the persistence of the “weekend effect,” a surgical care phenomenon in which the risk of postoperative complications, readmissions and mortality rises immediately before the weekend. The research suggests variations in staffing, resource availability, and care coordination may contribute to…
Study: Prophylactic antibiotics reduce SSIs in pediatric cholecystectomy
Editor's Note A cohort study published February 24 in JAMA Pediatrics found that prophylactic antibiotics reduced the odds of surgical site infections (SSIs) by 72% in children undergoing cholecystectomy for uncomplicated cholelithiasis. However, extended-spectrum antibiotics offered no additional benefit over cefazolin, suggesting that simpler prophylaxis protocols could optimize outcomes while…
Study: Hospital bed shortage looms as aging population drives demand
Editor's Note US hospitals face a growing risk of bed shortages as an aging population drives up hospitalization rates, according to research published February 19 in Jama Network. Leveraging COVID-19-era occupancy data, the study projects national hospital occupancy could reach 85% by 2032 for adult beds and by 2035 for…
Preoperative SGLT2i use does not raise DKA risk in emergency surgery
Editor’s Note Preoperative use of sodium-glucose cotransporter 2 inhibitors (SGLT2i) does not increase the risk of postoperative diabetic ketoacidosis (DKA) in patients undergoing emergency surgery, according to a study published February 19 in JAMA Surgery. These findings challenge the current FDA recommendation to withhold SGLT2i medications for at least three…
Commentary: Studies show how surgeon decisions follow the money
Editor's Note Financial incentives can shape surgeons’ decision-making, but their effectiveness depends on the structure of the payment model. This is the central message of a January 26 article in Forbes reporting on two studies: one linking a sharp increase in hernia cases to a simple Medicare coding change, and…
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- Survey: Burnout, rigid schedules push nurses to leave
- UCLA surgeons perform world’s first bladder transplant
- AHA urges HHS to cut regulations that burden hospitals and staff
- Commentary: Overlooking, underfunding perioperative mental health threatens patients
- Study: Fewer men undergo unnecessary prostate cancer surgery amid rise in active surveillance
- OpenAI benchmarking tool tests healthcare LLMs
- Healthgrades recognizes top 15% of hospitals for patient experience in 2025
- Q1 reports show climb in outpatient surgical volume, diverging trends at Surgery Partners, Ardent Health
- Study: SGLT2 inhibitors raise postop euglycemic ketoacidosis risk but lower mortality