Editor's Note This multicenter study demonstrated an association between intraoperative staff movements and door openings with risk of surgical site infections (SSIs). In this study of 13 ORs in 10 hospitals, performing cardiac and total hip or knee replacement surgery, door openings were assessed by sensors fixed on the doors.…
Editor's Note The Joint Commission on May 14 announced that it is expanding its quality measure program to provide accredited hospitals with year-round, real-time access to quality measures without additional outside vendors. The Joint Commission can now use a single environment to specify, develop, test, and distribute clinical quality language…
Editor's Note In this study from the Columbia University School of Nursing, New York City, researchers found that nurse understaffing is associated with increased risk of healthcare-associated infections (HAIs). Using data from 2007 to 2012 in a large urban hospital system: 15% of patient days had one shift understaffed (defined…
Editor's Note The Centers for Disease Control and Prevention (CDC) on May 9 released a National Health Interview Survey that found an estimated 9.4% of US residents (30.4 million people) lacked health insurance in 2018, which is not significantly different than in 2017, but it is 18.2 million fewer than…
Editor's Note An increased in adherence to Enhanced Recovery after Surgery (ERAS) protocols was associated with a decrease in postoperative complications in this study. Of 2,084 patients analyzed, 566 had moderate to severe postoperative complications. The number of patients with moderate to severe complications was lower in the ERAS group…
Editor's Note In the May 10 Morbidity and Mortality Weekly Report, the Centers for Disease Control and Prevention reported that hepatitis A infections were up 294% in 2016-2018, compared with 2013-2015. The increases are related to outbreaks among homeless people, men who have sex with men, people who use drugs,…
Editor's Note The Centers for Medicare & Medicaid Services (CMS) Physician Compare website contains quality information on just 23.3% of the more than 1 million physicians who care for Medicare patients, this study finds. A total of 76.6% of physician had no performance data, and almost none (99.7%) listed on…
Editor's Note The Food & Drug Administration (FDA) on May 7 issued a Safety Alert on the risk for premature battery depletion in nearly 132,000 biventricular and conventional cardiac resynchronization therapy implantable pacemakers by Medtronic. The FDA is aware of three patients in which a battery fully drained because of…
Editor's Note This study by Johns Hopkins researchers finds that the spread of carbapenem-resistant Enterobacteriaceae (CRE) bacteria that have high levels of resistance to most antibiotics could be reduced if only 25% of large healthcare facilities in a region used a patient registry. The researchers developed a computer simulation model…
Editor's Note The Joint Commission on May 8 announced that its Ambulatory Care Accreditation team is launching a "We Know Surgery" campaign to highlight its 45-year history accrediting ambulatory care organizations. The campaign, which is being launched in conjunction with the Ambulatory Surgery Centers Association (ASCA) conference in Nashville May…