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AHRQ: Review of VTE prophylaxis in orthopedic surgery

Editor's Note A new report from the Agency for Healthcare Research and Quality (AHRQ) compares the effectiveness of strategies to prevent venous thromboembolism (VTE) in patients having total hip replacement (THR), total knee replacement (TKR), or hip fracture surgery. The study directly compares different types of blood thinners and mechanical…

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By: Judy Mathias
July 13, 2017
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Distinguishing risk factors for SSIs after pancreatic surgery

Editor's Note Reporting of surgical site infections (SSIs) after pancreatic surgery should distinguish between superficial and organ-space infections, which will require different preventative strategies, this study finds. Results showed that risk factors for superficial and organ-space SSIs after pancreatic surgery differed. Preoperative biliary stenting was an independent risk factor for superficial…

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By: Judy Mathias
July 13, 2017
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Joint Commission revises 2018 Medication Management standards

Editor's Note The Joint Commission on July 12 announced revisions to its Medication Management standards that will become effective January 1, 2018. Among the revisions: Implementing a policy to provide emergency backup of medication dispensing equipment. Adding “wasting” of medication to required written policies. Implementing a policy for medication overrides…

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By: Judy Mathias
July 13, 2017
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Reducing robotic OR turnover times with a pit stop model

Editor's Note Concepts from motor racing pit stops, including role definition, task allocation, task sequencing, and a visual cue for ease-of-use, created efficient and sustainable approaches for decreasing robotic OR turnover times in this study. Average turnover time was 99.2 minutes before introducing the pit stop model and 53.2 minutes…

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By: Judy Mathias
July 11, 2017
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FDA updates Class II medical devices exempt from premarket notification

Editor's Note The Food and Drug Administration (FDA) on July 11 announced a list of 1,003 Class II devices that the Agency says no longer require premarket notification to provide reasonable assurance of safety and effectiveness. The exemptions were made in an effort to decrease regulatory burdens on the medical…

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By: Judy Mathias
July 11, 2017
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Study identifies high-risk groups for readmissions

Editor's Note Comparing rates, characteristics, and costs of hospital readmissions across all ages and insurance types, researchers from Beth Israel Deaconess Medical Center, Boston, found that of more than 12.5 million patients discharged in 2013, approximately 1.8 million were readmitted within 30 days. Medicare patients accounted for 56% of readmissions,…

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By: Judy Mathias
July 11, 2017
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Survey finds compensation key to physician retention

Editor's Note In the annual Physician Practice Preference & Relocation Survey from The Medicus Firm, nearly 3 in 10 physicians say concerns about appropriate compensation is the primary reason they would consider a career change, the July 5 FierceHealthcare reports. More than 17% of respondents say they will “likely” or…

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By: Judy Mathias
July 11, 2017
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Outcomes, costs associated with appendectomy in safety-net hospitals

Editor's Note Safety-net hospitals treat a disproportionate number of patients with advanced appendicitis and use laparoscopy less often, but their rates of morbidity and costs are similar to other hospitals, this study finds. In this analysis of 349 nonfederally funded hospitals in California performing 274,405 appendectomies, safety-net (compared with non-safety-net)…

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By: Judy Mathias
July 10, 2017
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New guidelines published on enhanced recovery after colon, rectal surgery

Editor's Note The American Society of Colon and Rectal Surgeons and the Society of American Gastrointestinal Endoscopic Surgeons have jointly published new clinical practice guidelines on enhanced recovery after colon and rectal surgery. The enhanced recovery protocol is multidisciplinary, including physicians, nurses, physical therapists, and dietitians and involves all aspects of care…

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By: Judy Mathias
July 10, 2017
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FDA: Oscor recalls Atar extension cables

Editor's Note The Food and Drug Administration (FDA) on July 6 announced the recall by Oscor Inc (Palm Harbor, Florida) of its Atar extension cables. The recall was initiated because, during use, some of the cables were separating from the connectors at the proximal end. The Atar cable is an…

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By: Judy Mathias
July 10, 2017
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