Elevating standard of endoscope reprocessing with terminal sterilization of duodenoscopes
Editor's Note Terminal sterilization of duodenoscopes can be achieved with a hydrogen peroxide-ozone sterilizer, this study finds. A sterility assurance level of 10-6 was achieved under laboratory worst-case conditions and under clinical conditions using a hydrogen peroxide-ozone sterilizer with regulatory clearance for terminal sterilization of duodenoscopes (STERIZONE VP4, TSO3 Inc,…
Joint Commission accepting applications for leaders in eCQM proven practices
Editor's Note The Joint Commission announced on February 27 that in support of organizations adopting electronic clinical quality measures (eCQMs), it is accepting applications from accredited hospitals and health systems for the “2019 Pioneers in Quality Proven Practices Collection.” The organizations’ success stories can be used as learning tools to…
Physician well-being and burnout improving, but increased burnout risk remains
Editor's Note Though physician burnout and satisfaction with work-life integration are improving, physicians remain at high risk for burnout, compared to workers in other fields, this study finds. Researchers from the Mayo Clinic, Stanford University, and the American Medical Association surveyed 30,456 US physicians in more than 20 specialties; 5,197…
ASCA: CMS makes minor changes to Emergency Preparedness requirements for ASCs
Editor's Note The Ambulatory Surgery Center Association (ASCA) on February 26 announced that the Centers for Medicare & Medicaid Services (CMS) released a Memorandum Summary with updates to Appendix Z of the State Operations Manual, which outlines the Emergency Preparedness requirements for CMS providers and suppliers. The primary change that affects…
Predictors of loss of independence after hip fracture repair
Editor's Note Age 50 to 80 years was a strong predictor of returning to independent living and walking 1 year after hip fracture surgery in this study. Of 600 patients aged 50 and older included in the study, 3.07% aged 50 to 80 years were living in an institution 1…
CMS releases opioid prescribing mapping tool updates
Editor's Note The Centers for Medicare & Medicaid Services on February 22 released an update to its Medicare Part D opioid prescribing mapping tool and a new Medicaid opioid prescribing mapping tool. The Medicare tool is an interactive, web-based resource that shows geographic comparisons of opioid prescribing rates at state,…
Unnecessary UTI testing cut by 45%
Editor's Note Making a simple change to the electronic system used by physicians to order urine tests can cut by 45% the number of bacterial cultures ordered without compromising the identification of patients who need treatment for urinary tract infections (UTIs), this study finds. In this analysis of 18,954 patients…
FDA: Class I recall of ICU Medical’s ChemoLock Vial Spike
Editor's Note The Food & Drug Administration (FDA) on February 22 identified the recall by ICU Medical (San Clemente, California) of its ChemoLock Vial Spike (20 mm) as Class I, the most serious. The recall was initiated because of the potential for plastic particles to break off the protective cap.…
[WHITEPAPER] How Effective Partnerships Support Exceptional, Cost-Effective Healthcare
This whitepaper explores key benefits of partnering with vendors by identifying four key trends affecting hospital performance and by analyzing how third-party service providers can help hospitals adapt to those trends. This was the experience at two health systems, Erlanger Health System and Baystate Health, where healthcare teams benefited from…
FDA: Class I recall of Smiths Medical Sterile Saline and Water for Inhalation
Editor's Note The Food & Drug Administration (FDA) on February 4 identified the recall by Smiths Medical (Minneapolis, Minnesota) of certain lots of Sterile Saline and Water for Inhalation as Class I, the most serious. The recall was initiated because of potential exposure to infectious agents (bacillus infantis and staphylococcus…