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More complications in obese patients after elective breast surgery

Obese patients are nearly 12 times more likely to have postoperative complications after elective breast procedures than nonobese patients, finds a study published online ahead of print in Plastic and Reconstructive Surgery. Overall, 18.3% of obese patients suffered complications compared to 2.2% of nonobese patients in a review of insurance…

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By: OR Manager
August 1, 2011
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Is postop nausea and vomiting hereditary?

Researchers from Penn State College of Medicine have singled out a genetic variation in patients who have postoperative nausea and vomiting (PONV). In the study, the researchers pooled DNA samples from 122 patients with severe PONV. Findings identified 41 genetic targets (called single nucleotide polymorphisms, or SNPs) in these patients…

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By: OR Manager
August 1, 2011
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Hardwiring the right-site process

For the past four years, Rhode Island Hospital (RIH) in Providence has reviewed its processes for preventing wrongsite surgery from top to bottom. The hospital has been under the microscope after several widely publicized incidents dating back to 2007. The hospital has been fined by the state and successfully passed…

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By: Pat Patterson
August 1, 2011
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Editorial

We all think we are good at multitasking—but we're really not. A good way to enhance decision-making is to sleep on it. Exercise boosts brain power and could stave off Alzheimer's. These are a few of 12 "brain rules" laid out by writer John Medina in his fascinating book of…

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By: Pat Patterson
August 1, 2011
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Devil in details: Identifying defects that could lead to a wrong surgery

The devil really is in the details. That's a key message from a national project to prevent wrong-site surgery. Five hospitals and three surgery centers have worked with the Joint Commission's Center for Transforming Healthcare (CTH) to measure defects in their own processes and come up with targeted ways to…

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By: OR Manager
August 1, 2011
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CMS proposes to increase quality reporting

The Centers for Medicare and Medicaid Services (CMS) proposes new quality measures, including a new quality reporting program for ambulatory surgery centers (ASCs), in its proposed 2012 outpatient rule issued July 1, 2011. The rule applies to hospital outpatient departments and ASCs. Comments are accepted until August 30. A final…

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By: OR Manager
August 1, 2011
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A critical eye on Infuse use studies

A leading spine journal is casting a critical eye on industry-supported research that has led to widespread use of Medtronic's controversial bone growth product Infuse. The June 2011 issue of Spine Journal carries a strongly worded editorial about the trial designs, reporting bias, and peer review shortfalls that the authors…

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By: OR Manager
August 1, 2011
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Anesthesiologists release infection control document

Updated infection control practices from the American Society of Anesthesiologists draw on data and national guidelines to inform anesthesia providers of practices shown to alter the incident of health care-associated infections. The recommendations also focus on prevention of occupational transmission of infection in anesthesiologists. The document has not been reviewed…

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By: OR Manager
August 1, 2011
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