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Resolution approved to provide more bleeding control training, kits

Editor's Note An American College of Surgeons (ACS)-sponsored resolution to train more professional (ie, police, firefighters) and civilian first responders in the techniques of bleeding control and to place bleeding control kits with the responders was approved June 14 by the American Medical Association House of Delegates, ACS says in…

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By: Judy Mathias
June 16, 2016
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Nursing work environments linked to value

Editor's Note Hospitals with better nursing work environments and above-average staffing levels were associated with better value (ie, lower mortality with similar costs), especially for higher risk patients, this study finds. The study included 25,752 elderly Medicare general surgery patients treated at 35 focal hospitals (mean nurse-to-bed ratio, 1.51) and…

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By: Judy Mathias
June 16, 2016
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Orlando surgeons, OR staff saved dozens of lives

Editor's Note Orlando Regional Medical Center treated 44 of the Pulse nightclub shooting victims; nine died, the June 14 Modern Healthcare reports. A total of 26 surgical procedures were performed early Sunday morning, June 12, six more were performed on Monday, and eight were performed on Tuesday, June 14, with…

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By: Judy Mathias
June 15, 2016
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From shared to professional governance

Editor's Note The concept of shared governance has evolved to professional governance with the attributes of accountability, professional obligation, collateral relationships, and effective decision-making, this study finds. For 40 years, shared governance served as a nonhierarchical structural framework to create an environment that supports professional nursing practice and interdependence with management. The time…

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By: Judy Mathias
June 15, 2016
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Top 20 most expensive inpatient conditions

Editor's Note Septicemia was the most expensive condition treated in US hospitals in 2013, according to the Agency for Healthcare Research and Quality. Others in the top 20 most expensive were: osteoarthritis, 2nd complications of device, implant, or graft, 4th complications of surgical procedures or medical care, 13th hip fracture,…

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By: Judy Mathias
June 15, 2016
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Delaying appendectomy does not lead to more SSIs

Editor's Note A 16-hour delay from emergency department (ED) admission or a 12-hour delay from hospital admission to performance of an appendectomy was not associated with an increased risk of surgical site infections (SSIs), in this study. Of 1,338 patients included in the study, 70% had a diagnosis of simple…

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By: Judy Mathias
June 14, 2016
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Healthcare providers struggling to transition to VBP

Editor's Note Moving to information systems and data requirements of the new value-based payment (VBP) reimbursement system is proving to be a daunting challenge for healthcare providers, the June 13 Health Data Management reports. A survey of healthcare executives from 190 hospitals shows that only 3% of respondents provide more…

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By: Judy Mathias
June 14, 2016
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ASCs reduce cost of outpatient surgery by $38 billion per year

Editor's Note An analysis of US commercial health insurance claims found ambulatory surgery centers (ASCs) reduce the cost of outpatient surgery by more than $38 billion per year compared to hospital outpatient departments, the Ambulatory Surgery Center Association said in a June 14 report. The study, which included more than…

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By: Judy Mathias
June 14, 2016
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Causes of disparities in surgical care

Editor's Note Healthcare disparities are widely established and include differential access, care, and outcomes stemming from factors such as minority group and socioeconomic status, finds this meta-analysis. In this examination of 328 studies of healthcare disparities, researchers identified five major themes for causes of surgical disparities: patient factors−demographic, physiologic, and…

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By: Judy Mathias
June 13, 2016
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Study: General anesthesia safe in young children

Editor's Note Children who received a single general anesthesia under age 3 had similar IQ, behavior, language, and mental functions, including attention, learning, memory, and thinking speed, between ages 8 and 15, compared with siblings who didn’t receive general anesthesia, this study finds. This multi-center study led by researchers at…

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By: Judy Mathias
June 13, 2016
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