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July 2020
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Competition engages staff in cost savings and standardization

More than half of respondents to a recent OR Manager reader survey put cost-saving initiatives at the top of their list of important topics, and cost reduction is an ongoing challenge for many OR managers. Leaders at Lehigh Valley Health Network (LVH), based in Allentown, Pennsylvania, took a creative approach…

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By: Cynthia Saver, MS, RN
March 16, 2020
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Top 10 health technology hazards for 2018 named

Medical technology is intended to improve patient care, but even the best technology—if configured, used, or maintained improperly—can lead to problems. Hospitals must regularly examine their hazard control priorities to target the most pressing risks. ECRI Institute’s annual Top 10 Health Technology Hazards report identifies high-priority sources of danger or…

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By: OR Manager
January 19, 2018
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ASC quality reporting deadlines moved up in 2018

On November 1, 2017, the Centers for Medicare & Medicaid Services (CMS) released its final rule for the 2018 Medicare Hospital Outpatient Prospective Payment System/ASC Payment System and Quality Reporting Programs. In summary, several ambulatory surgery center (ASC) measures (ASC-1 to ASC-14) are unaffected, except that three measures (ASC-5, -6,…

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By: Leslie Flowers
December 14, 2017
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New combination of tests identify patients with benign pancreatic cysts

Editor's Note The combination of two molecular biology tests is the first to distinguish, with near certainty, pancreatic lesions that mimic early signs of cancer but are completely benign, this study finds. The vascular endothelial growth factor-A test alone singled out benign serious cystic neoplasms with a sensitivity of 100%…

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By: Judy Mathias
June 26, 2017
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Novel model predicts readmission risk

Editor's Note A novel model by researchers from the Massachusetts General Hospital, Boston, uses natural language processing to predict readmission risk by incorporating physical function, cognitive status, and psychosocial support--three areas that may impact readmission but are poorly captured with structured data sources. The final model had 16 variables, a…

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By: Judy Mathias
September 16, 2016
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Influence of practice environment on nurse managers

Editor's Note A nurse manager’s practice environment was a significant predictor of job satisfaction and intent to leave, this study finds. Of 355 nurse managers surveyed, using the Nurse Manager Practice Environment Scale: Job satisfaction was 4.5 on a 6-point scale. Mean intent to leave was 5.0 on a scale…

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By: Judy Mathias
August 30, 2016
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Hospital cost of surgery-related pressure ulcers

Editor's Note This study found that hospital-acquired pressure ulcers add 44% to the cost of major surgical hospital stays, but the amount varies depending on length of stay. Using data from the Healthcare Cost and Utilization Project (HCUP) State Inpatient Databases and the Medicare Patient Safety Monitoring System for 2011…

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By: Judy Mathias
August 16, 2016
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Anesthesia Technique and Mortality after Total Hip or Knee Arthroplasty:A Retrospective, Propensity Score-matched Cohort Study

Our TakeThis study found a strong association between spinal anesthesia and lower 30-day mortality along with a shorter length of stay after total hip and knee replacement. Of 10,868 patients analyzed, 8,553 had spinal anesthesia and 2,315 had general anesthesia. The 30-day mortality rate was 0.19% in the spinal anesthesia…

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July 28, 2016
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AGA, CDC, Joint Commission collaborate on patient safety project

Our TakeThe American Gastroenterological Association (AGA) announced May 4 that it has been selected by the Centers for Disease Control and Prevention (CDC), and Joint Commission for a new project to prevent patients from acquiring healthcare associated infections during outpatient care. The 3-year project referred to as “ADOPT (Adaptation and…

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By:
May 10, 2016
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Editorial

Healthcare, business, and political leaders convened at the World Healthcare Congress in Washington, DC, in April to discuss payment, regulatory reforms, new technology, and evolving models of patient care. During the Nurse Leadership Summit portion of the conference, a session on population health management was noteworthy. Panel members discussed transitional…

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By: OR Manager
April 20, 2016
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