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Patient factors strongly predict 30-day readmissions

Editor's Note The patient’s clinical condition responsible for admission, age, comorbidities, and socioeconomic factors such as race, income, and payer status were strong predictors of readmission within 30 days in this study. The analysis included some 15 million patients at 611 hospitals from Premier healthcare alliance over a 2-year period.…

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By: Judy Mathias
March 22, 2016
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Joint Commission approves new, revised NPSGs for CAUTIs

Editor's Note The Joint Commission on March 21 approved a new National Patient Safety Goal (NPSG) on catheter-associated urinary tract infections (CAUTIs) for accredited nursing care centers. Also approved were revisions for the existing CAUTI NPSG for accredited hospitals and critical access hospitals, which were made to bring the NPSG…

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By: Judy Mathias
March 22, 2016
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Effect of bundled payments for colectomy on hospital finances

Editor's Note In this analysis of Medicare patients undergoing colectomy at Johns Hopkins, Baltimore, payments under the Bundled Payments for Care Improvement Initiative were lower than traditional fee-for-service payments, and the proportion of patients contributing to a net negative margin increased. Of 821 patients analyzed, 33.7% contributed to an overall…

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By: Judy Mathias
March 21, 2016
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CMS given more time for final notice on ‘two-midnight’ payment cut

Editor's Note The US District Court for the District of Columbia has given the Centers for Medicare & Medicaid Services’ (CMS) another month to issue a final notice justifying cutting inpatient payments by 0.2% in conjunction with its “two-midnight” rule, The March 18 AHA News Now reports. CMS has until…

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By: Judy Mathias
March 21, 2016
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FDA: Class I recall of GlideScope Titanium Single-Use Video Laryngoscope

Editor's Note The Food and Drug Administration (FDA) on March 18 announced the Class I recall of the GlideScope Titanium Single-Use Video Laryngoscope by Verathon (Bothell, Washington). Class I is the most serious. The recall was initiated because of a potential disruption in the video feed from the laryngoscope blade…

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By: Judy Mathias
March 21, 2016
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Hospital variation in laparoscopic sleeve gastrectomy complications

Editor's Note In this study of Michigan hospitals, overall complications in laparoscopic sleeve gastrectomy patients varied widely, and serious complications were infrequent. The analysis included 8,693 patients who underwent laparoscopic sleeve gastrectomy from 2013 to 2014 in 40 hospitals in the Michigan Bariatric Surgery Collaborative. Overall, 5.4% experienced complications, and…

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By: Judy Mathias
March 18, 2016
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Study: Use of self-filled vs prefilled syringes during anesthesia

Editor's Note In this work system analysis, the inclusion of prefilled syringes into medication delivery by anesthesia providers simplified work processes and reduced the number and associated risks of system vulnerabilities. Eight system vulnerabilities were found in the prefilled syringe system versus 21 in the self-filled syringe system. An example…

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By: Judy Mathias
March 18, 2016
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ECRI Institute and London School of Economics partner on device pricing project

Editor's Note ECRI Institute announced on March 17 that is collaborating with the London School of  Economics in a project examining medical device pricing across different countries. Medical devices are estimated to account for 6% to 7% of total health expenditure in the US and European countries, but little is…

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By: Judy Mathias
March 18, 2016
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Association between ‘July phenomenon’ and emergency general surgery patient outcomes

Editor's Note Emergency general surgery patients who were managed early in the academic year with an influx of new residents fared equally well, if not better, than patients who were managed later in the year in this study. Compared to patients managed later, early patients had lower risk-adjusted odds of…

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By: Judy Mathias
March 17, 2016
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Nurses’ perceptions of EHR

Editor's Note This study was designed to understand nurses’ perceptions of using an electronic health record (EHR) at the point of care. At 1 year after EHR adoption, the nurses said: it did not improve patient care the learning curve was steep they had lower confidence using the EHR than…

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By: Judy Mathias
March 17, 2016
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