ASCs react to 2019 regulatory changes
Each year, ambulatory surgery centers (ASCs) adapt to numerous federal regulatory policy reforms. As an example, since 2012, when the Centers for Medicare & Medicaid Services (CMS) launched the Ambulatory Surgery Center Quality Reporting (ASCQR) Program ASCs had been asking for, ASCs have reported data for a changing set of…
Factors linked to functional recovery of geriatric major surgery patients
Editor's Note In this prospective study, nonfrailty and elective surgery were positively associated with functional recovery of older patients after major surgery. Of 754 community-living patients 70 years or older who were analyzed, 266 survived major surgery with increased disability and were monitored for 6 months. A total of 174…
FDA: Class I recall of Medtronic’s Dual Chamber Implantable Pulse Generators
Editor's Note The Food & Drug Administration (FDA) on February 15 identified Medtronic, Inc’s (Dublin, Ireland) recall of it’s Dual Chamber Implantable Pulse Generators (IPGs) as Class I, the most serious. The recall was initiated because of the possibility of a software error that can result in a lack of…
Government payment policies linked to hospital performance fail to improve CAUTI rates
Editor's Note This study found no evidence that value-based incentive programs (VBIPs), which link financial incentives or penalties to hospital performance, had any measurable association with changes in catheter-associated urinary tract infection (CAUTI) rates. Researchers at Boston University School of Medicine analyzed 592 hospitals across the country, and found that…
Joint Commission revises Sentinel Event Alert on diagnostic radiation
Editor's Note The Joint Commission on February 13 announced the revision of its Sentinel Event Alert on diagnostic radiation, which was updated to also address risks associated with fluoroscopy. The original Alert, “Issue 47: Radiation risks of diagnostic imaging and fluoroscopy was published in August 2011.
Use of ‘hot spotting’ to identify high-cost surgery patients
Editor's Note Because a subset of patients are responsible for a disproportionate share of Medicare spending, targeting high-cost patients (ie, “hot spotting”) for cost containment efforts would be an effective strategy to reduce costs in surgical patients, this study finds. Using Medicare claims data from 2010 to 2013, University of…
FDA: Class I recall of Edwards Lifesciences Swan-Ganz Thermodilution Catheter
Editor's Note The Food and Drug Administration (FDA) on February 5 identified the recall by Edwards Lifesciences (Irvine, California) of its Swan-Ganz Thermodilution Catheter as Class I, the most serious. The recall was initiated because of incorrect assembly and reversal of catheter lumens that can expose the patient to serious…
Study: Measuring patient steps after surgery predicts LOS
Editor's Note Using Fitbit activity monitors to improve assessment of daily ambulation, this study found that each step taken towards 1,000 steps the day after major surgery resulted in significantly lower odds of a prolonged hospital length of stay (LOS). This analysis of 100 patients at Cedars-Sinai Medical Center, Los…
FDA warns of link between breast implants and anaplastic large cell lymphoma
Editor's Note The Food and Drug Administration (FDA) on February 6 posted a letter that was sent to healthcare providers to increase their awareness of the association between all breast implants, regardless of filling or texture, and breast implant associated-anaplastic large cell lymphoma (BIA-ALCL). As of September 30, 2018, the…
Less anesthesia during surgery doesn’t prevent postop delirium in older patients
Editor's Note Closely monitoring of brain activity with electroencephalography (EEG) and minimizing anesthesia in older patients during surgery had no significant effect on the occurrence of delirium after surgery, but it was linked to lower 30-day mortality, this study finds. In this analysis of 1,232 older surgical patients, researchers assigned…