Editor's Note Researchers at Wake Forest University, Winston-Salem, North Carolina, have developed a tool that helps predict the possibility of survival and independence at discharge for elderly patients with traumatic brain injury. The tool, which accounts for variables such as age, gender, and severity of brain injury, was evaluated in…

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Editor's Note The Joint Commission and Centers for Disease Control and Prevention (CDC) announced March 3 that they are collaborating on a project designed to adapt, enhance, and disseminate CDC guidelines related to infection prevention in ambulatory healthcare settings. The goal of the initiative, called “ADOPT (Adaptation and Dissemination Outpatient…

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Editor's Note Robotic cholecystectomy was associated with greater operative times but with similar safety and outcomes as conventional laparoscopic cholecystectomy, in this study. The analysis included 13 studies involving 1,589 cholecystectomy patients (921 laparoscopic, 668 robotic). Operative time for the robot-assisted procedure was 128.0 minutes vs 115.3 minutes for laparoscopic.…

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Editor's Note The Centers for Disease Control and Prevention (CDC) reported March 2 that the proportion of US pregnancies with Zika-associated birth defects is approximately 20 times higher than it was before introduction of the virus into the US. Between January 15 and September 22, 2016, the US Zika Pregnancy…

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Editor's Note Selective nonoperative management of abdominal gunshot wounds is an acceptable and effective treatment for patients with less severe injuries that do not involve major organ damage or significant blood loss, this study finds. Of 922 patients with abdominal gunshot wounds analyzed, 707 had an immediate laparotomy and 215…

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Editor's Note In women undergoing hysterectomies largely because of gynecologic malignancies, duration of surgery was a significant surgical site infection (SSI) risk, finds this study. Choice of preoperative antibiotic did not affect SSI risk. Of 1,531 hysterectomies analyzed, there were 52 SSIs, with 60% being deep incisional or organ/space infections.…

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Editor's Note The Joint Commission on March 1 issued a new Sentinel Event Alert on “The essential role of leadership in developing a safety culture.” Leadership’s failure to create an effective safety culture is contributing to adverse events such as wrong-site surgery and delays in treatment, the Joint Commission says.…

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Editor's Note Opting out of the Medicare rule that requires anesthesia to be administered with physician supervision has little or no effect on access to inpatient or outpatient surgery, this study finds. The researchers also found that opting out does not reduce costs, and in fact increases costs for inpatient…

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Editor's Note A survey of critical care nurses found moderate levels of postcode stress and posttraumatic stress disorder (PTSD) symptoms after unsuccessful cardiopulmonary resuscitation (CPR) of patients. In 490 nurses surveyed, four coping behaviors (ie, denial, self-distraction, self-blame, and behavioral disengagement) were significant predictors of PTSD symptom severity. Nurses who…

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Editor's Note Healthgrades (Denver) on February 24 released its list of America’s 50 and 100 Best Hospitals for 2017. The top 50 represent 1% of all hospitals and are located in 22 states. California has the most at 10, followed by Illinois with 7. The top 100 hospitals are those…

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