Editor's Note Inspired by aviation and medical best practices for handling crises, researchers have developed a Stress-APGAR protocol to help managers anticipate burnout in employees, according to the April 26 Harvard Business Review. The Stress-APGAR acronym includes five key areas: Appearance: How does the employee look−overly tired, changes in weight,…

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Editor's Note Delos Marshall “Toby” Cosgrove, MD, will step down as CEO of the Cleveland Clinic by the end of the year, the May 1 Cleveland.com reports. Dr Cosgrove will stay on in an advisory role, and his successor will be a practicing physician, keeping up with the Clinic’s history…

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Editor's Note An analysis by Absolute Reports predicts the global lumbar spine fusion market will see a 4.9% compound annual growth rate through the next 4 years, according to the April 26 Becker’s Spine Review. Driving market growth is: a growing demand for minimally invasive spine surgeries an increasing incidence…

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Editor's Note In this study, the use of preoperative and postoperative elements of a Perioperative Surgical Home model in total knee and hip patients was associated with improvements in operational outcomes. The study included 1,225 patients in a preintervention PSH group and 1,363 in a postintervention PSH group. Compared with…

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Editor's Note A new trend in US healthcare, known as “micro-hospitals,” offers care in underserved communities and provides an alternative to emergency care at major hospitals, according to the April 24 US News & World Reports. Micro-hospitals, already built in 19 states, have an average of 8 to 10 short-stay…

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Editor's Note Conscious sedation is a safe and viable option for anesthesia in patients having transcatheter aortic valve replacement (TAVR), finds this study. The use of conscious sedation rather than general anesthesia was associated with: similar rates of adverse events (1.5% in both groups) shortened ICU (30 vs 96 hours)…

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Editor's Note A home-based preoperative training program decreased hospital length of stay (LOS), reduced costs, and was well accepted by patients, this study finds. Elements of the Michigan Surgical Home and Optimization Program include improving the patient’s diet, reducing stress, breathing exercises, smoking cessation, and an emphasis on light physical…

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Editor's Note A March 23 report by Axios finds “massive consolidation among ambulatory surgery centers” (ASCs), and more is expected because about half of some 5,500 ASCs are not owned by chains. ASCs are becoming a target for acquisition because they are high-profit organizations. Recent financial reports show: Envision Healthcare (260…

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Editor's Note A Transparency Market Research analysis predicts the global market for hip replacement implants will reach $9.1 billion by 2024, with a 3.9% compound annual growth rate, the March 17 Becker’s Spine Review reports. Fueling the growth are an expanding geriatric population, an increasing incidence of osteoarthritis, and technological…

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Editor's Note Providing surgeons with individualized cost feedback and surgical supply costs was associated with significantly reduced surgical supply costs, without negatively affecting patient outcomes in this study. The study involved 63 surgeons in an intervention group and 186 surgeons in a control group. Surgeons in the intervention group received…

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