Association between nurse work environment and outcomes
Editor's Note The nurse work environment is associated with the quality of nursing care, nurse job outcomes, patient outcomes, and patient satisfaction, this study finds. This meta-analysis of 17 articles that reported data from 2,677 hospitals, 141 nursing units, 165,024 nurses, and 1,368,420 patients, in 22 countries found consistent, significant…
Use of TAVR in low-risk patients
Editor's Note In this study of low-risk patients with severe aortic stenosis, outcomes were significantly better at 1 year follow-up with transcatheter aortic-valve replacement (TAVR) than surgical aortic-valve replacement. In 1,000 patients at 71 centers who were randomized to undergo either TAVR or surgical aortic-valve replacement, the rate of the…
Conference keynote puts compassion at the heart of patient care
Compassion fatigue can come into play at any stage of nurses’ careers. Nursing is growing at a faster rate than other occupations, but it carries a high risk for burnout. Loss of job satisfaction, job-related distress, or perhaps exposure to too many traumatic events can threaten the ability of staff…
FDA to require label changes on how to safely decrease opioids in physically dependent patients
Editor's Note The Food & Drug Administration (FDA) on April 9 issued a Drug Safety Announcement saying it has received reports of serious harm in patients who are physically dependent on opioid pain medications and suddenly have them discontinued or rapidly decreased. Because of these reports, the FDA is requiring…
Association between nurse work environments and outcomes
Editor's Note Better work environments are associated with lower odds of negative outcomes ranging from job dissatisfaction to patient mortality, finds this meta-analysis from the University of Pennsylvania School of Nursing. This analysis of data from 2,677 hospitals, 141 nursing units, 165,024 nurses, and 1,368,420 patients in 22 countries found…
Minimally invasive uterine fibroid embolization safe, effective
Editor's Note Minimally invasive embolization can be used to effectively treat uterine fibroids with fewer postoperative complications and a lower need for additional treatments than myomectomy, finds this study presented March 25 at the Society of Interventional Radiology’s 2019 Annual Scientific Meeting in Austin, Texas. Of 950 patients analyzed, half…
Study: TAVR equal to or better than surgery
Editor's Note This study comparing transcatheter aortic valve replacement (TAVR) with standard open-heart surgery found no difference in stroke or death from any cause at 2 years follow-up. The findings were presented March 17 at the American College of Cardiology’s Annual Scientific Session in New Orleans. A total of 1,468…
No increased risk of complications after ambulatory total joint procedures
Editor's Note There were no increased risks of complications or readmissions after total hip replacements (THRs) and total knee replacements (TKRs) performed in a community-based ambulatory surgery center (ASC), finds this study reported in a Poster Session March 14 at the American Academy of Orthopaedic Surgeons in Las Vegas. A…
ACDF can be performed safely in outpatient setting
Editor's Note Removal of multiple herniated or degenerative discs in the neck, known as anterior cervical discectomy and fusion (ACDF), can be safely performed in an outpatient setting, finds this study presented March 13 at the American Academy of Orthopaedic Surgeons in Las Vegas. Of 103 patients included in the…
IV and oral acetaminophen work equally well after THA
Editor's Note Intravenous (IV) acetaminophen did not result in a significant difference in pain scores, opioid consumption, or opioid-related adverse events compared with oral acetaminophen, finds this study presented March 12 at the American Academy of Orthopaedic Surgeons Annual Meeting in Las Vegas. A total of 154 patients having total…
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