Joint Commission posts decision rule changes for 2018
Editor's Note The Joint Commission on December 12 posted its summary of changes to accreditation and certification decision rules for all programs for 2018. Changes include initial accreditation, reaccreditation, and certification. The decision rules are effective for surveys and reviews beginning January 1, 2018. Joint Commission requirement. Read More…
Perioperative myocardial injury common after noncardiac surgery
Editor's Note Perioperative myocardial injury (PMI) is a common complication after noncardiac surgery (occurring in 1 of 7 patients), and it is associated with substantial short- and long-term mortality (9% and 22%), this study finds. This analysis included 2,018 patients having 2,546 surgical procedures. PMI occurred after 397 of the…
ECRI Institute issues annual technology hazards list
Editor's Note ECRI Institute on December 12 issued its list of Top 10 Health Technology Hazards for 2018. The list, which is available for free (registration required), identifies sources of technology dangers or difficulties and details steps to minimize the occurrence of adverse events. Topping the list is ransomware and…
Impact of reducing postop complications in bariatric Medicare patients
Editor's Note Hospitals with the largest reductions in serious complications after bariatric surgery had the greatest decrease in per-patient Medicare payments, this study finds. Analyzing 37,329 Medicare patients undergoing bariatric surgery from 2005 to 2006 and 2013 to 2014, researchers found a strong association between reductions in complications and decreased…
Florida Senate backs overnight stays at ASCs
Editor's Note Under a bill approved unanimously December 5 by the Florida Senate Health Policy Committee, ambulatory surgery centers (ASCs) could treat patients overnight, the December 6 WUSF News reports. Before approving the bill (SB 250), sponsored by Sen Greg Steube (R-Sarasota), the committee agreed to an amendment requiring the…
Postop outcomes in OSA patients having cardiac surgery
Editor's Note Obstructive sleep apnea (OSA) is an important risk factor for postoperative complications in cardiac surgery patients, finds this meta-analysis led by Frances Chung, MD, a noted expert on OSA. After cardiac surgery, major adverse cardiac or cerebrovascular events and newly documented postoperative atrial fibrillation were 33.3% and 18.1%…
FDA issues guidance on 3D printing of medical devices
Editor's Note Food and Drug Administration (FDA) commissioner Scott Gottlieb, MD, issued a statement December 4 on the FDAโs final guidance on medical device additive manufacturing, also known as 3D printing. The FDA has reviewed more than 100 devices currently on the market that were manufactured on 3D printers, including…
Cataract surgery shifting from HOPDs to ASCs
Editor's Note Most patients who had cataract surgery from 2001 to 2014 did so at ambulatory surgery centers (ASCs) compared with hospital outpatient departments (HOPDs), this study finds. In this analysis of 369,320 patients who had 531,325 cataract surgeries, the proportion performed at ASCs increased from 43.6% in 2001 to…
Joint Commission continues to revise LS, EC chapters
Editor's Note The Joint Commission on December 6 announced that revisions are continuing to be made to the Life Safety (LS) and Environment of Care (EC) chapters of its accreditation manuals. The revisions are a result of the Centers for Medicare & Medicaid Servicesโ adoption of the 2012 editions of…
Association of patient age at exposure to surgery, anesthesia with mental disorders
Editor's Note Children under age 5 having minor surgery with anesthesia have a small but statistically significant increased risk of a mental disorder, developmental delays, and attention deficit hyperactivity disorder (ADHD), this study finds. A total of 38,493 children with a single exposure to anesthesia before age 5 and 192,465…