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Predictive model for determining LOS after total hip

Editor's Note In this study, a predictive model that can help identify patients at higher odds for not requiring a prolonged hospital length of stay (LOS) after total hip arthroplasty was developed and validated and a point-based calculator was designed. The calculator included nine variables: age, opioid use, metabolic equivalents…

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By: Judy Mathias
June 27, 2019
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Outpatient surgery occupies big stage at OR Manager Conference

Editor's Note Ambulatory surgery center (ASC) administrators and managers trying to keep pace with the rapid growth in their facilities will not want to miss the robust outpatient surgery education offered at the 2019 OR Manager Conference. On Tuesday, September 17, Beverly Kirchner, BSN, RN, CNOR, CASC, chief compliance officer…

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By: Elizabeth Wood
June 27, 2019
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Influence of age, weight on oxygenation impairment during anesthesia

Editor's Note Oxygenation was impaired by anesthesia more often in patients with greater age or body mass index, this study finds. This retrospective analysis of data from two hospitals found key contributors to impaired oxygenation were low ventilation/perfusion ratios because of airway narrowing and closure in the elderly and atelectasis-induced…

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By: Judy Mathias
June 27, 2019
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OR Manager Conference offers wealth of career resources for emerging OR leaders

Editor's Note With increasing numbers of nurse leaders approaching retirement, succession planning is a chief area of concern. To help bridge any potential leadership gap, the annual OR Manager Conference gears many of its sessions to new nurse managers with little to no management experience. Conference organizers have engaged veteran…

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By: Elizabeth Wood
June 27, 2019
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Study: EHR data limited in capture of patient outcomes, risk factors needed for risk adjustment

Editor's Note Retooling paper-based measures to electronic format for reporting performance measures can help reduce hospitals’ reporting burden. However, in this study by Joint Commission and State University of New York researchers, a simplified risk model using electronic health record (EHR) elements could not capture most risk factors in the…

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By: Judy Mathias
June 26, 2019
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CMS finalizes coverage policy for TAVR

Editor's Note The Centers for Medicare & Medicaid Services (CMS) on June 21 issued final updates to its national coverage policy for Transcatheter Aortic Valve Replacement (TAVR). The update provides more flexibility in how centers meet volume requirements for performing TAVR, while emphasizing the importance of the heart team for…

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By: Judy Mathias
June 26, 2019
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Effect of fewer postop opioids prescribed, preop education on opioid consumption

Editor's Note Prescribing fewer opioid tablets postoperatively was associated with lower opioid consumption after anterior cruciate ligament reconstruction, and preoperative education was associated with lower duration and quantity of postoperative opioid use, this study finds. Of 264 patients analyzed, 109 received 50 tablets, 77 received 30 tablets and no education,…

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By: Judy Mathias
June 25, 2019
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FDA: Class I recall of Hudson RCI Sheridan, Sheridan Endotracheal Tubes

Editor's Note The Food & Drug Administration on June 21 identified the recall by Teleflex Medical (Wayne, Pennsylvania) of the Hudson RCI Sheridan and Sheridan Endotracheal Tubes as Class I, the most serious. The recall was initiated because of the risk of the Sheridan connector disconnecting from the breathing circuit.…

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By: Judy Mathias
June 25, 2019
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Study: Value found in physician-patient outcome assessment process

Editor's Note A new scoring system reveals a strong agreement between patient-reported and physician-reported outcomes after surgery, the Mayo Clinic reports. The study enrolled 100 patients who had elbow or shoulder surgery. The average time between surgery and follow-up was 31 months. In the categorical ratings, patients and physicians agreed…

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By: Judy Mathias
June 24, 2019
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CMS selects ECRI Institute for NQIIC designation

Editor's Note The ECRI Institute on June 20 announced that the Centers for Medicare & Medicaid Services (CMS) had awarded it with the Network of Quality Improvement and Innovation Contractors (NQIIC) designation. With this designation and partnering with other quality improvement contractors under the new CMS Indefinite Delivery/Indefinite Quanity (IDIQ)…

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By: Judy Mathias
June 24, 2019
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