FDA: Safety Alert on liquid-filled intragastric balloon systems
Editor's Note The Food and Drug Administration (FDA) on August 10 issued a Safety Alert to update healthcare providers on five reports of unanticipated deaths that have occurred from 2016 to the present in patients with liquid-filled intragastric balloon systems used to treat obesity. Four reports involve the Orbera Intragastric…
Outcomes in patients diagnosed with OSA during preop screening vs previously diagnosed
Editor's Note In this study, patients diagnosed on the day of surgery as moderate to high risk for obstructive sleep apnea (OSA) had similar rates of adverse respiratory events (ie, perioperative hypoxemia and difficult airway management) as patients who had been diagnosed with OSA previously. However, those diagnosed with OSA…
Purpose of CMS readmission program questioned
Editor's Note The Centers for Medicare & Medicaid Services (CMS) Hospital Readmissions Reduction Program has only seen a drop in readmissions by 0.1% from 2013 to mid-2016, which has industry experts and hospital leaders questioning its purpose, the August 12 Modern Healthcare reports. The Affordable Care Act mandated program, which…
Cognitive assessment helps predict survival in frail surgical patients
Editor's Note Adding cognitive assessment to frailty assessment predicted poor postoperative outcomes and survival in frail patients better than either measurement alone, this study finds. The study included 330 patients having major surgery who were assessed with a four-level composite frailty scoring system, which was created by combining the Fried…
Hospitals partnering with ASCs to perform outpatient total joints
Editor's Note With the growth of ambulatory surgeries and the shift to Medicare reimbursement for outpatient hip and knee replacements, hospitals are acquiring and forming joint ventures with ambulatory surgery centers (ASCs), the August 5 Modern Healthcare reports. This allows hospitals to keep part of the revenue and better aligns…
Obese cardiac surgery patients use more ICU resources
Editor's Note After cardiac surgery, obese patients required significantly more ICU resources and longer recovery times, resulting in more expensive, labor-intensive care, this study finds. Of 5,365 patients included in the analysis, 1,948 were classified as obese. Patients with greater obesity were: four times more likely to have longer time…
Healthcare needs to prepare for Ransomware 2.0
Editor's Note Cybersecurity experts are warning that Ransomware 2.0 is coming, and healthcare needs to be prepared, the August 8 Healthcare IT News reports. Ransomware 2.0 combines ransomware with a worm, which allows it to move laterally or across internal and external networks. Because the next wave of attacks will…
New national surgical safety program begins with colorectal surgery
Editor's Note Researchers have released a surgical technical evidence review for colorectal surgery (published online August 7 in the Journal of the American College of Surgeons) as the first step in the Agency for Healthcare Research and Quality’s Safety Program for Improving Surgical Care and Recovery, a nationwide program to…
Mayo Clinic tops US News Honor Roll of Best Hospitals
Editor's Note The Mayo Clinic, Rochester, Minnesota, was ranked the nation’s top hospital by US News & World Report in its 2017-2018 Honor Roll of Best Hospitals. The Honor Roll consists of 20 hospitals with the highest combined overall scores in 16 medical-surgical specialties. Cleveland Clinic was second, Johns Hopkins…
CMS push to value-based care leading to more burnout
Editor's Note The push by the Centers for Medicare & Medicaid Services (CMS) to transform healthcare delivery at community health centers to value-based care is increasing staff dissatisfaction and burnout, this study finds. From 2013 to 2014, clinicians and staff at 296 centers reported statistically significant declines in multiple measures…