Editor's Note This study finds that where surgical patients go after they are discharged varies widely, and that variation leads to huge differences in how much their care costs. Variation in postacute care spending between lowest and highest quintiles differed 129% for total hip replacement, 103% for coronary artery bypass…

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Editor's Note The Food and Drug Administration on January 9 issued a safety alert for St Jude Medical’s (St Paul, Minnesota) radio frequency-enabled implantable cardiac devices and Merlin@home transmitters on reducing the risk of patient harm from cybersecurity vulnerabilities. The vulnerabilities, if exploited, could allow an unauthorized user to remotely…

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Editor's Note In this review article, researchers conclude that implementation of Enhanced Recovery after Surgery (ERAS) programs results in major improvements in clinical outcomes and cost savings, which makes ERAS an important example of value-based care applied to surgery. ERAS practices include: changes from overnight fasting to carbohydrate drinks 2…

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Editor's Note The Joint Commission in December banned the use of secure text messaging to transmit patient orders, the January 9 Becker’s Infection Control & Clinical Quality reports. The Joint Commission collaborated with the Centers for Medicare & Medicaid Services (CMS) to make the following recommendations: Healthcare facilities are prohibited…

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Editor's Note Methicillin-resistant Staphylococcus aureus (MRSA) healthcare-associated infection (HAI) rates have declined significantly over 8 years with the Veterans Affairs MRSA Prevention Initiative, this study finds. Between 2007 and 2015, MRSA HAI rates fell: 87% in ICUs 80.1% in non-ICUs 80.9% in spinal cord injury units 49.4% in long-term care.…

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Editor's Note The ECRI Institute on January 9 released its 2017 Top 10 Hospital C-Suite Watch List. The list includes both technologies and critical technology use issues that hospital leaders should be aware of. Included in the list are: an initiative to improve outcomes and costs of abdominal surgery hospital…

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Editor's Note The American Society of Anesthesiologists (ASA) has published new “Practice guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration: Application to health patients undergoing elective procedures.” The document updates its guidelines published in 2011. The guidelines are intended for use…

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Editor's Note The Food and Drug Administration (FDA) on January 4, 2017, classified the recall by Nurse Assist (Haltom City, Texas) of its IV Flush Syringes as Class I, the most serious. The recall was initiated because of a potential link to Burkholderia cepacia blood stream infections with the syringes.…

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Editor's Note Introduction of the Perioperative Surgical Home (PSH) model for patients having ambulatory laparoscopic cholecystectomy at a Kaiser Permanente facility was associated with decreased length of stay and unplanned hospital admissions in this study. A total of 878 patients were included in the preimplementation period, and 1,082 in the…

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Editor's Note Enhanced recovery after surgery (ERAS) and fast track surgery protocols were associated with a significant reduction in postoperative lung, urinary tract, and surgical site infections, compared with conventional protocols in this study. ERAS and fast track protocols also were linked to a significant decrease in hospital length of…

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