Editor's Note Employment in US hospitals fell by 0.04% (2,100 jobs) in July to a seasonally adjusted 5,238,900, the Bureau of Labor Statistics reported on August 2. That’s still up 93,000 more employees than a year ago. Overall, healthcare employment has increased 405,300 in the past year. The overall unemployment…
Editor's Note In this study, human performance deficiencies were identified in more than half of surgical adverse events, and they were most commonly associated with cognitive errors. Of 5,365 surgical procedures analyzed, adverse events occurred in 188 patients. A total of 106 adverse events (56.4%) were because of human error,…
Editor's Note Contaminated duodenoscopes have transmitted drug-resistant infections to hundreds of patients, and now some experts are urging the Food & Drug Administration to force manufacturers to develop duodenoscopes that can be properly sterilized or single-use duodenoscopes or take duodenoscopes off the market, the August 6 New York Times Reports.…
Editor's Note In this study, aggressive pulmonary treatment after surgery with oscillation and lung expansion (OLE) reduced the rate of postoperative pulmonary complications in high-risk patients having open thoracic, aortic, or upper abdominal surgery. A total of 419 patients (209 with OLE treatment and 210 without) were included in the…
Editor's Note The Food & Drug Administration on August 5 identified the recall by Abbott (formerly St Jude Medical Inc) of its Ellipse Implantable Cardioverter Defibrillators as Class I, the most serious. The recall was initiated because electrical failures have been identified that are due to a faulty manufacturing process…
Editor's Note Though the annual volume of gastroenterology and gastrointestinal (GI) advanced laparoscopic abdominal surgical procedures is three-fold higher for US News & World Report’s top-ranked hospitals, the volume does not appear to be associated with improved patient outcomes, this study finds. In this analysis of 51,869 abdominal procedures, the…
Editor's Note In its proposed rule, the Centers for Medicare & Medicaid Services (CMS) would give Medicare patients better access to innovative devices beginning next year, the July 30 MassDevice reports. CMS also says it might pay more for “certain transformative new devices” for inpatients, using a new technology add-on…
Editor's Note Acute and chronic sleep deprivation patterns are common in acute care surgeons and worsen on post-call day 2, finds this study. In this analysis of 1,421 nights for 17 acute care surgeons, the average amount of sleep was 6.54 hours, with 64.8% of sleep patterns categorized as acute…
Editor's Note In response to an increase in adverse events related to direct oral anticoagulants (DOACs), the Joint Commission, on July 31, issued a new Sentinel Event Alert on managing DOAC risks. The alert: provides guidance for safe use and management of DOACs stresses understanding the risks, benefits, side effects,…
Editor's Note NarxCare, an opioid-use score based on state prescription databases, is not associated with adverse outcomes or patient satisfaction after elective spine surgery, this study finds. Multivariate logistic regression analysis of 346 elective spine surgery patients did not find statistically significant odds of experiencing adverse events, readmissions, reoperations, and…