Editor's Note Evidence is mounting for the use of antibiotics as a valid alternative to surgery for acute appendicitis, including in pediatric cases, the Washington Post reported August 17. The article details how this treatment—described as a “dark secret” by one expert testifying to its use in the 1950s, prior…

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Editor's Note A new low for median days cash-on hand could spell trouble for US nonprofit hospitals and health systems, Healthcare Dive reported August 12. “Nonprofit hospitals’ cash on hand — the funds immediately available to finance daily operations — is one indicator of financial health,” the outlet reports. “Low cash…

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Editor's Note A dispute over cameras in ORs reportedly added tension to nurse strike negotiations that recently culminated in a tentative agreement with union nurses at Brigham and Women's Hospital in Boston. According to an August 7 CBS News report, the OR cameras are intended to assist with robotic surgeries.…

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Editor's Note Optimizing patient positioning can help reduce the risk of surgical site infections due to airborne contaminants in positive-pressure ORs, according to a study published August 12 in Nature: Scientific Reports. Maintaining higher pressure than adjacent spaces prevents entry of contaminants from environments external to the OR. For this…

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Editor's Note The American Hospital Association (AHA) criticized new inpatient prospective payment system rates issued August 1 by the Centers for Medicare and Medicaid Services (CMS), citing the potential of financial struggles for hospitals and reduced access for patients, particularly in rural or underserved areas. Under the new rule, most…

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Editor's Note A CMS citation for immediate jeopardy this past June allegedly resulted in the cancellation of nearly 1,000 surgeries at Doctors Medical Center in Modesto, California, according to a July 30 article in Becker’s ASC Review. Citing a July 26 letter from California Assemblymen Heath Flora and Juan Alanis…

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Editor's Note Acquisition by private equity firms leaves healthcare facilities less equipped to care for patients, according to a recent study published in JAMA. NBC reported the news July 31. Conducted by researchers from the University of California at San Francisco, Harvard Medical School, and Hunter College, this nationwide study…

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Editor's Note Automated surgical video analysis could enhance evaluation of an OR team’s nontechnical skills, according to a study published July 31 in JAMA Network Open. Conducted between January 2021 and May 2022, the cross-sectional study involved 30 cardiovascular surgical teams at a teaching hospital in Boston, Massachusetts. Using OpenPose,…

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Editor's Note The Supreme Court’s recent “Chevron” ruling could offer additional financial security to hundreds of so-called "tweener" rural hospitals—those too large to be considered critical access hospitals but too small to be rural referral centers. Modern Healthcare reported the news July 29. According to the article, critical access hospitals,…

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Takeaways • Compared to 2023, the percentage of respondents reporting an increase in open positions for RNs and STs, as well as increased turnover for RNs, remained stable, but fewer reported a drop in ST turnover. • The percentage of respondents reporting hiring more managers set a 9-year record. •…

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