Preop frailty linked to surgical outcomes
Editor's Note In this study of adult surgical patients across all ages, frailty was associated with higher postoperative rates of major illness and readmissions as well as increased costs. Of 14,530 patients (31.9% inpatient, 68.1% outpatient) analyzed, 3.4% had high frailty (5.3% of inpatients and 2.5% of outpatients). Compared with…
FDA: Class I recall of RVO 2.0 Raindrop near vision inlay
Editor's Note The Food & Drug Administration (FDA) on March 5 identified the recall by RVO 2.0, Inc (Aliso Viejo, California) of its Raindrop near vision inlay as Class I, the most serious. All lots of the inlay are being recalled because data from the post-approval study showed an increased…
Incidence of workplace bullying among nurse managers
Editor's Note Nurse managers are recipients of workplace bullying, coming from executive nurse leaders, clinical nurses, and their management peers, this study finds. In this survey of nurse managers across the US, 35% said they had been a target of workplace bullying with severity levels ranging from occasional to severe.…
FDA issues Safety Communication on using surgical robots in women’s health
Editor's Note The Food and Drug Administration (FDA) on February 28 issued a Safety Communication on the safety and effectiveness of using robotically-assisted surgical devices in mastectomy procedures or in the prevention or treatment of cancer in women. The FDA cited limited, preliminary evidence that the use of robotically-assisted surgical…
Long-term opioid use in family members linked to persistent postop use in adolescents, young adults
Editor's Note Long-term opioid use among family members was associated with persistent postoperative opioid use in opioid-naïve adolescents and young adults and should be screened for preoperatively, this study finds. Of 346,251 opioid-naïve patients aged 13 to 21 years having common surgical and dental procedures, persistent opioid use occurred in…
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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[Free Webinar] Using Value-Based Management to Transform American Healthcare
Register Now [form april-2019-webinar-elevate-registration] Webinar Date: Thursday, April 11, 2019 | 12:00 p.m. - 1:00 p.m. ET 1 CE The transformation of American healthcare from fee-for-service (FFS) to value-based reimbursement is well underway. In a value-based system, providers are paid based on patient health outcomes, where “value” is a measurement…
Association of overlapping surgery with outcomes
Editor's Note In this multicenter study, overlapping surgery was not significantly associated with in-hospital mortality or postoperative complication rates, but it was significantly linked to increased surgery time. Researchers from Stanford University, University of Michigan, University of Pennsylvania, and Harvard, analyzed 66,430 procedures, of which 8,224 were overlapping. Overlapping surgery…
FDA: Class I recall of Physio-Control LIFEPAK 15 Monitor/Defibrillator
Editor's Note The Food & Drug Administration (FDA) on February 27 identified the recall by Physio-Control, Inc (Redmond, Washington) of its LIFEPAK 15 Monitor/Defibrillator as Class I, the most serious. The recall was initiated because the device may “lockup” (freeze) after a shock is delivered. Once it freezes, it cannot…