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US News & World Report lists ‘Most Connected Hospitals’

Editor's Note The US News & World Report has released its 2015-2016 Most Connected Hospitals list. Included are 159 hospitals in 37 states that have made significant strides in implementing technologies to enhance the digital exchange of information. Ohio has the most hospitals on the list at 23, followed by…

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By: Judy Mathias
October 20, 2015
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Potential burden of antibiotic resistance on surgical patients

Editor's Note Some 120,000 more patients would get surgical site infections (SSIs) and 6,300 more would die from those infections if antibiotics given before surgery become 30% less effective, this study finds. Researchers estimated that between 38.7% and 50.9% of pathogens causing SSIs in the US are resistant to standard…

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By: Judy Mathias
October 20, 2015
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FDA safety alert: Heater-cooler devices linked to infections

Editor's Note The Food and Drug Administration on October 15 issued a safety alert that heater-cooler devices have been associated with Nontuberculous Mycobacteria infections, primarily in patients undergoing cardiothoracic surgical procedures. Devices include: oxygenator heat exchangers cardioplegia heat exchangers warming/cooling blankets. Between January 2010 and August 2015, the FDA received…

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By: Judy Mathias
October 19, 2015
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SSI risk after c-section twice as high for Medicaid patients

Editor's Note Medicaid patients had a twofold higher risk of surgical site infections (SSIs) after cesarean delivery than privately insured patients, this study finds. The higher risk remained even after adjusting for demographic and clinical variables. Medicaid might represent factors the study did not account for, such as socioeconomic status…

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By: Judy Mathias
October 19, 2015
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Joint Commission releases new online high reliability assessment and library

Editor's Note The Joint Commission Center for Transforming Healthcare on October 15 released Oro 2.0, an online high reliability assessment and resource library to help hospital leaders determine their organizations’ level of high reliability maturity. The assessment process guides users through a series of questions that allows for discussion and…

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By: Judy Mathias
October 15, 2015
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Good surgical-team communication prevents SSIs

Editor's Note In this study, more case-relevant communication among surgical team members during a procedure was associated with fewer organ/space surgical site infections (SSIs). More case-irrelevant communication during the closing phase of the procedure was linked to an increased incidence of incisional SSIs. Distractions were not associated with SSIs. Case-irrelevant…

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By: Judy Mathias
October 15, 2015
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Variation in patient-reported outcomes after surgery

Editor's Note Patient factors explain a large proportion of hospital variation in postoperative patient-reported outcomes, underscoring the importance of risk adjustment, this study finds. Some variation across hospitals remained unexplained, however, suggesting that patient-reported outcomes may be a viable indicator of hospital performance, the authors conclude. There is a growing…

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By: Judy Mathias
October 15, 2015
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Differences in 30-day readmission rates after total hips

Editor's Note Researchers found significant differences in the odds of 30-day readmissions after total hip arthroplasties on the basis of race, socioeconomic status, and payer. African American and Hispanic patients had a higher risk of readmissions than white patients. Lower socioeconomic status was linked to higher odds of readmission. Medicare…

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By: Judy Mathias
October 15, 2015
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Effect of hospital safety-net burden on surgical costs, outcomes

Editor's Note In this study on the effect of patient and hospital factors on surgical outcomes and costs at safety-net hospitals, researchers found that hospital resources and not necessarily patient factors lead to inferior outcomes and increased costs. Hospital Compare data from the Centers for Medicare & Medicaid Services website…

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By: Judy Mathias
October 15, 2015
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SmartTots updates consensus statement on anesthesia safety in young children

Editor's Note SmartTots on October 13 released an updated “Consensus Statement On the Use of Anesthetic and Sedative Drugs in Infants and Toddlers.” There is growing evidence from animal studies and observational studies in humans suggesting that adverse effects on behavior, learning, and memory may result from exposure to anesthetics…

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By: Judy Mathias
October 14, 2015
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