Effect of fewer postop opioids prescribed, preop education on opioid consumption
Editor's Note Prescribing fewer opioid tablets postoperatively was associated with lower opioid consumption after anterior cruciate ligament reconstruction, and preoperative education was associated with lower duration and quantity of postoperative opioid use, this study finds. Of 264 patients analyzed, 109 received 50 tablets, 77 received 30 tablets and no education,…
FDA: Class I recall of Hudson RCI Sheridan, Sheridan Endotracheal Tubes
Editor's Note The Food & Drug Administration on June 21 identified the recall by Teleflex Medical (Wayne, Pennsylvania) of the Hudson RCI Sheridan and Sheridan Endotracheal Tubes as Class I, the most serious. The recall was initiated because of the risk of the Sheridan connector disconnecting from the breathing circuit.…
Study: Value found in physician-patient outcome assessment process
Editor's Note A new scoring system reveals a strong agreement between patient-reported and physician-reported outcomes after surgery, the Mayo Clinic reports. The study enrolled 100 patients who had elbow or shoulder surgery. The average time between surgery and follow-up was 31 months. In the categorical ratings, patients and physicians agreed…
CMS selects ECRI Institute for NQIIC designation
Editor's Note The ECRI Institute on June 20 announced that the Centers for Medicare & Medicaid Services (CMS) had awarded it with the Network of Quality Improvement and Innovation Contractors (NQIIC) designation. With this designation and partnering with other quality improvement contractors under the new CMS Indefinite Delivery/Indefinite Quanity (IDIQ)…
Effect of visible-light CED on microbial contamination, SSIs
Editor's Note A visible-light continuous environmental disinfection (CED) system, used with manual cleaning, resulted in a significant reduction in microbial surface contamination and surgical site infections (SSIs) in an orthopedic OR, in this study. Samples were taken from 25 surfaces within two contiguous ORs sharing an air supply after manual…
What if healthcare AI is the next asbestos?
Editor's Note At a precision medicine conference in Boston on June 18, Harvard Law School professor Jonathan Zittrain likened the use of artificial intelligence (AI) in healthcare to asbestos, saying: “it’s all over the place, even though at no point did you explicitly install it, and it has possibly some…
Variation in surgical outcomes across highest-rated hospitals
Editor's Note Risk-adjusted surgical outcomes vary widely across hospitals within networks that are on the Honor Roll of the US News & World Report, this study finds. In this analysis of 87 hospitals and 143,174 patients, outcomes were not consistently better at Honor Roll hospitals compared with network affiliates. For…
Having a protégé makes a better manager
Editor's Note Leaders who sponsor other people in the workplace (ie, have a protégé) experience career benefits in the form of promotions or stretch assignments, the June 17 Harvard Business Review reports. A survey conducted for the book, “The Sponsor Effect: How to Be a Better Leader by Investing in…
Coworker reports of unprofessional behavior by surgeons linked to complications in their patients
Editor's Note Patients whose surgeons had more coworker reports about unprofessional behavior in the 36 months before their surgical procedures had a significantly increased risk of complications, this study finds. In this analysis of 13,653 patients having surgical procedures performed by 202 surgeons in two academic medical centers, 1,583 (11.6%)…
Joint Commission announces new NAHQ report on quality competencies
Editor's Note The Joint Commission on June 19 announced that the National Association for Healthcare Quality (NAHQ) has issued a new report−“Key Workforce Competencies for Quality-Driven Healthcare”− that focuses on creating a new framework for competencies needed by healthcare organizations to meet new goals for quality-driven healthcare. Among the competencies:…