Annual CMS rules support underserved, under-resourced communities, promote value-based care
Editor's Note Addressing social determinants of health (SDOHs), strengthening emergency preparedness, and improving maternal heath are among the top priorities of the fiscal year (FY) 2025 Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital Prospective Payment System (LTCH PPS) rules released April 10. These and other efforts aim to…
Patient survey: Excessive needlesticks during hospital visits impede workflow
Editor's Note A new survey finds that hospital patients receive more needlesticks than necessary, negatively impacting their experience and contributing to workflow issues. The survey was published March 27 by medical technology company BD and conducted by the Harris Poll. More than 1 in 10 (11%) of 2,006 surveyed adults, including…
Urologists advocate for resources to help surgeons prepare for, cope with adverse events
Editor's Note Adverse events are a ubiquitous, inevitable consequence of surgical practice, and more must be done to support surgeons before and after they occur. This is the central message of a video published March 27 by Urology Times, in which British urologist Kevin Turner, MA DM FRCS, of Royal…
Laparoscopic cholecystectomy could benefit patients with normal ejection fraction
Editor's Note Patients with biliary symptoms can benefit from laparoscopic cholecystectomy even with a normal ejection fraction (greater than 35%), according to a study published November 30 in the American Journal of Surgery. Although previous data have shown the surgery to improve biliary symptoms (such as abdominal pain) in patients…
New hope for Black kidney disease patients awaiting organ transplants
Editor's Note A standard kidney function test has been underestimating the seriousness of disease in Black patients, delaying their eligibility for transplants, The Associated Press reported March 31. Now, that test is changing – and Black patients awaiting kidneys are moving up the list. Among other factors, transplant eligibility is…
Study: Postoperative hospital readmissions higher for older Americans
Editor's Note Older Americans are at heightened risk for both short-term and long-term hospital readmission following major surgery, according to a study from Yale University published February 28 in Jama Network Open. Readmission places a major financial strain on health systems, researchers write, pointing out that the total cost…
How data puts the ‘value’ in value-based care
What if a surgeon decided to perform a procedure on a patient that was not totally necessary? It happens more often that one might realize. As recently as August 2023, Forbes published an article that cited a Harvard Business Review report stating that over 50% of lumbar spine surgeries are…
Procedural sedation analgesia considerations for ASC leaders
The promise of quicker recovery and fewer complications from sedation, anesthesia, and pain management have drawn clinicians and patients alike to procedures performed in ambulatory surgery centers (ASCs) and other outpatient settings. However, sedation, anesthesia, and analgesia add their own risks to those of the procedure itself. Understanding the latest…
Study: Postoperative delirium less likely with ephedrine than phenylephrine
Editor's Note Using phenylephrine as an intraoperative vasopressor could lead to higher risk of postoperative delirium compared to ephedrine, according to findings published in the April issue of Anesthesiology. Posted online last September, these findings confirm researchers’ original hypothesis. “The treatment of intraoperative hypotension with phenylephrine may impair cerebral perfusion…
Lack of primary care physicians tied to emergency surgeries
Editor's Note Research shows that Americans who live in areas with a limited number of primary care doctors and nurse practitioners are at a greater risk for emergency surgeries and complications. The findings were published March 4 in the journal Health Affairs. For the study, researchers looked at Medicare patient…
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- Study: Thrombectomy beneficial in high-risk acute stroke patients with large infarct
- Majority of American adults have CKM syndrome, at risk for heart disease
- FDA announces class 1 recalls for heart devices, ventilators
- Carbon-conscious health systems phase out desflurane anesthesia gas to reduce emissions
- Joint Commission releases annual Sentinel Event Data Report
- Study: Surgical team diversity improves patient outcomes
- Colorectal cancer rates declining in older adults, rising among children, teens
- Industry leaders share main growth opportunities for ASCs