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…
Editor's Note A session at the 2025 Healthcare Sterile Processing Association (HSPA) Annual Conference used a striking analogy, comparing the Kentucky Derby to the daily operations of a sterile processing department (SPD) to energize professionals and reframe persistent challenges in the field, Infection Control Today April 27 reports. The article…
Editor's Note Female surgeons achieve better long-term outcomes for surgical patients—especially for female patients—according to a large national study published April 23 in JAMA Surgery. Using US Medicare data from over 2.2 million older adults, researchers found that patients of female surgeons had lower mortality rates and, for women, fewer…
Editor's Note Helping patients taper opioids preoperatively before deploying multimodal care strategies can help prevent instances of patients already with prescriptions going home with even higher doses. That’s the main takeaway from an April 22 MedCentral interview with Marie N. Hanna, MD, division chief for regional anesthesia and acute pain…
Editor's Note The Centers for Medicare & Medicaid Services (CMS) will no longer approve federal matching funds for designated state health programs (DSHPs) and designated state investment programs (DSIPs) that are not directly related to Medicaid services. According to the April 10 announcement, the decision aims to preserve the core…
Editor's Note A recent study shows potentially significant promise for preoperative virtual reality (VR) simulation to improve surgical patient outcomes. Published March 1 in the American Journal of Critical Care, the research details how VR reduced ICU sedation and ventilator time for patients undergoing elective cardiothoracic surgery. Although the program…
Editor's Note Overreliance on overtime and agency nurse staffing can significantly increase the risk of pressure ulcers and, in the case of agency hours, perioperative hemorrhage or hematoma, according to research published April 2 in JAMA Network Open. Using data from 70 US hospitals between 2019 and 2022, researchers…
Editor's Note Patients aged 50 to 70 undergoing heart valve replacement may benefit from mechanical valves over biological ones, according to a new study from the University of Bristol. Healthcare-in-Europe.com reported the news February 13. As detailed in the article, short-term outcomes between the two options were similar. However, mechanical…
Takeaways • Although the central tenets of value-based healthcare have not changed, in many cases implementation has been reduced to little more than reducing costs, to the detriment of clinicians and patients. • The right incentives, such as recognition and work support, can effectively inspire clinicians to deliver high value…
Editor's Note Optimizing surgeon stress could enhance surgical performance and patient outcomes, according to a large cohort study published January 15 in JAMA Surgery. Researchers focused particularly on physiological markers of surgeon stress during the first 5 minutes of a procedure, revealing a significant inverse relationship with major patient complications.…