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March 2025
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Hospital employment up 3,000 jobs in May

Editor's Note US hospitals added 3,000 jobs in May to a seasonally adjusted 5,231,600, the Bureau of Labor Statistics reported June 7. That’s up 103,100 more employees than a year ago. Overall, healthcare employment has increased 390,500 in the past year. The overall unemployment rate remained at a 50-year low…

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By: Judy Mathias
June 11, 2019
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Estimating cost of physician burnout in the US

Editor's Note There is a substantial economic value for policy and organizational expenditures for physician burnout reduction programs, this study finds. A conservative base-case model estimates that about $4.6 billion in costs is attributable to physician burnout each year in the US because of physician turnover and reduced clinical hours.…

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By: Judy Mathias
June 4, 2019
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Association of changes to Hospital Readmission Reduction Program with changes in penalties

Editor's Note Stratification of hospitals in Medicare’s Hospital Readmission Reduction Program (HRRP) was associated with a significant shift in hospital penalties for excess readmissions, this study finds. Beginning in FY 2019, Medicare is stratifying hospitals into five peer groups based on the proportions of each hospital’s patient population that is…

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By: Judy Mathias
June 4, 2019
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Joint Commission announces performance measures for heart attack certifications

Editor's Note The Joint Commission on May 29 announced performance measures for two newly developed advanced Disease-Specific Care Certification programs−Acute Heart Attack Ready and Primary Heart Attack Center. The measures will go into effect July 1, 2019, for critical access hospitals and hospitals (including freestanding emergency departments) pursuing these certifications.…

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By: Judy Mathias
May 30, 2019
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Survey: C-suite support needed to fully unleash nursing innovation

Editor's Note A new survey by the University of Pennsylvania School of Nursing and BDO Center for Healthcare Excellence & Innovation finds that clinical and business leaders value the innovation nurses bring to their organizations, just not at the C-suite level. Clinical and business leaders ranked skills, such as “the…

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By: Judy Mathias
May 30, 2019
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Effect of regional anesthesia on readmission rates, costs after TKA

Editor's Note Regional anesthesia was not associated with decreased readmission rates and costs after total knee arthroplasty (TKA) in this study. In this analysis of 138,362 privately insured TKA patients 18-64 years of age, the adjusted 90-day readmission rate was 1.8% for those who did not receive regional anesthesia compared…

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By: Judy Mathias
May 21, 2019
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DHS releases action guide for healthcare facilities on active shooter incidents

Editor's Note The Department of Homeland Security (DHS) has issued an action guide for active shooter incidents specifically for hospitals and healthcare facilities. The action guide includes potential indicators of an individual who may become an active shooter. It also gives recommendations for staff on what they should do if…

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By: Judy Mathias
May 21, 2019
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How will artificial intelligence impact surgical patient care? Part 2

As part of a special series on artificial intelligence (AI), OR Manager is taking a deep dive into the many facets of this new technology and its impact on patient care. Part 1 of this introduction to the series (OR Manager, May 2019, 1, 7-11) defined several different types of…

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By: Cynthia Saver, MS, RN
May 17, 2019
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From NASA to the OR: How to launch on-time starts

Northwestern Medicine Lake Forest Hospital, located in Lake Forest, Illinois, has taken a giant leap in curtailing late starts in the OR. In December 2016, the facility’s on-time start percentage was only 37%. Perioperative team members dug in their heels and, by August 2017, increased their on-time starts to 77%.…

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By: Catherine Spader, RN
May 17, 2019
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Cardiology services: The next wave in ASCs?

Many experts see cardiovascular (CV) care as the next wave in ambulatory surgery centers (ASCs), and a hybrid office-based lab (OBL)/ASC model is gaining momentum across the country. Robert J. Zasa, MSHHA, FACMPE, president and CEO of Ambulatory Systems Development, LLC, in Incline Village, Nevada, sees the hybrid arrangement as…

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By: Jennifer Lubell
May 17, 2019
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