CMS Proposes Changes to the 'Two-Midnight' Rule
Editor's Note On July 1, the Centers for Medicare & Medicaid Services released proposed updates to the “Two-Midnight” rule regarding when inpatient admissions are appropriate for payment under Medicare Part A. The proposed update allows physicians to use their judgment to admit patients for short hospital stays on a case-by-case…
Three-Year Outcomes of Bariatric Surgery vs Lifestyle Intervention for Type 2 Diabetes Mellitus Treatment: A Randomized Clinical Trial
Our Take Bariatric surgery in patients with type 2 diabetes resulted in more disease remission than lifestyle intervention alone, a study finds. Those who had a surgical procedure followed by lifestyle interventions were significantly more likely to achieve and maintain glycemic control than those who received intensive and then maintenance…
The Impact of Operating Room Distractions on Stress, Workload, and Teamwork
Our Take Distractions in the OR are associated with higher mental workload and stress and poorer teamwork among OR personnel, a study finds. The most prevalent distractions were those from external staff, followed by case-irrelevant conversations. Case-irrelevant conversations initiated by surgeons were associated with lower teamwork in surgeons and anesthesiologists. Equipment-related…
Cincinnati hospital unveils $6M operating room
Our Take The University of Cincinnati Medical Center invested $6 million to upgrade an OR into a hybrid OR for heart and vascular procedures. The cost was about three times the cost of a non-hybrid OR. The 854 sq ft room includes $2.6 million in equipment and advanced medical imaging devices.…
Leveraging Data to Transform Nursing Care: Insights From Nurse Leaders
Our Take In a study to gain insight into how nurse leaders are influencing the use of performance data to improve nursing care, two themes emerged: Getting relevant, reliable, and timely data into the hands of nurses The leaders' ability to “connect the dots” in working with different stakeholders. A…
The Effect of Adding Functional Classification to ASA Status for Predicting 30-Day Mortality
Our Take In this study, functional capacity to perform activities of daily living was an independent predictor of postoperative mortality within each ASA class, indicating that it should be incorporated into routine preoperative evaluations. The likelihood for mortality was significantly lower for patients who were functionally independent than for those…
At Risk Care Plans: A Way to Reduce Readmissions and Adverse Events
Our Take This article describes an “At Risk Care Plan,” the goal of which is to improve safety and quality care by anticipating individual safety and care needs of patients at risk and to communicate those needs to the health care team. This intervention has reduced hospital readmissions, costs, and…
Spending bill in House would end funding for AHRQ
The House Appropriations Committee has approved a draft budget for fiscal 2016 that would terminate funding for HHS' Agency for Healthcare Research and Quality. The proposal would also cut funding for the Centers for Medicare and Medicaid Innovation and Patient-Centered Outcomes Research Institute. Just last week, AHRQ announced plans to…
Study of Ebola Preparedness Resources in U.S. Hospitals: Costs, Benefits and Challenges
The Joint Commission, Department of Health Services Research, and researchers from Rhode Island Hospital and the Society for Healthcare Epidemiology of America are conducting a study that will provide estimates of the costs and benefits of Ebola preparedness to hospitals. For the study, a nationally representative sample of hospitals will be…
Readmission destination and risk of mortality after major surgery: an observational cohort study
Patients who are readmitted after major surgical procedures have improved survival if they return to the same hospital where their surgery took place, finds a study. Readmission to the index hospital was associated with a 26% lower 90-day mortality risk than readmission to a non-index hospital. These findings may have…
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