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Non-opioid pain management gaining favor in ASCs

Pressure to contain opioid overuse in the United States is at a boiling point. The Centers for Disease Control and Prevention reports that overdose deaths linked to opioid prescriptions have increased fivefold over the last two decades. To reduce reliance on opioid prescriptions, the Centers for Medicare & Medicaid Services…

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By: Jennifer Lubell
March 15, 2019
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IV and oral acetaminophen work equally well after THA

Editor's Note Intravenous (IV) acetaminophen did not result in a significant difference in pain scores, opioid consumption, or opioid-related adverse events compared with oral acetaminophen, finds this study presented March 12 at the American Academy of Orthopaedic Surgeons Annual Meeting in Las Vegas. A total of 154 patients having total…

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By: Judy Mathias
March 13, 2019
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Joint Commission moves THKR performance measures

Editor's Note The Joint Commission on March 6 announced that it is moving the inpatient and outpatient Total Hip and Total Knee Replacement (THKR) implementation guides from the performance measure webpage to the 2019 Specifications Manual for Joint Commission National Quality Measures. The Manual was published in February. The move will…

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By: Judy Mathias
March 11, 2019
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Haven is new name for Amazon-backed healthcare venture

Editor's Note The healthcare organization founded by Amazon, Berkshire Hathaway, and JP Morgan Chase announced on March 6 its new name−Haven−along with the launching of its new website www.havenhealthcare.com. The website outlines some of the areas where Haven intends to make improvements on the current healthcare system, including access of…

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By: Judy Mathias
March 7, 2019
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CMS updates Star Ratings, proposes future changes

Editor's Note The Centers for Medicare & Medicaid Services (CMS) on February 28 updated its Overall Hospital Star Ratings on the Hospital Compare website and posted potential changes to the Hospital Star Ratings methodology for public comment. The proposed changes would make hospital comparisons more precise and consistent, and allow…

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By: Judy Mathias
March 4, 2019
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New nurses working long shifts, overtime

Editor's Note New nurses are predominantly working 12-hour shifts and nearly half work overtime each week, trends that have remained relatively the same over the past 10 years, this study finds. Analyzing surveys from more than 4,500 newly licensed nurses in 13 states and Washington, DC, researchers from New York…

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By: Judy Mathias
February 20, 2019
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Hospital employment up in January

Editor's Note US hospitals added 18,800 jobs in January to a seasonally adjusted 5,214,200, the Bureau of Labor Statistics reported on February 1. That’s up 112,100 more employees than a year ago. Overall, healthcare employment has increased 367,800 in the past year. The overall unemployment rose by 0.1% in January…

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By: Judy Mathias
February 20, 2019
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Disruptive innovation in supply chain: Impact of Amazon Business and technology, Part 2

Supply chain is ripe for innovation, as Amazon Business and technology manufacturers have discovered. In part 1 of this two-part series, we focused on the company’s role in the supply chain (OR Manager, February 2019, 1, 9-12). In part 2, we look at technology-related trends and innovations that can improve…

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By: Cynthia Saver, MS, RN
February 20, 2019
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Editorial

Interest in data analytics, artificial intelligence, technology, and innovation has skyrocketed with rapid advances in systems and devices designed to improve patient care. When it comes to data analytics, asking the right questions is key to finding answers that will enhance efficiency and patient safety, according to David Wyatt, PhD,…

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By: Elizabeth Wood
February 20, 2019
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Surgical transfer unit allows patients to bypass ED

There are few things more disheartening for patients than having to board in the emergency department (ED) for long periods while waiting for a bed. ED boarding can also delay treatment and adds to overcrowding and backups. Erlanger Health System, based in Chattanooga, Tennessee, decided to tackle this problem head…

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By: Catherine Spader, RN
February 20, 2019
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