Effect of multiple complications on postop mortality rates
Editor's Note Failure to rescue occurs predominantly in patients who have more than one complication with a dose-response relationship as complications accrue, this study finds. More than 266,000 patients in the Veterans Affairs Surgical Quality Improvement Program were included in the analysis.ย Of those who had a complication, more than half…
Half million providers to get 2% cut in Medicare payments
Editor's Note More than 500,000 physicians and other providers will get a 2% cut in their Medicare payments because of poor performance in the Physician Quality Reporting System (PQRS), the June 13 Modern Healthcare reports. The penalties are based on 2015 claims data. Though Medicare is phasing out PQRS and…
Importance of factors associated with nurse retention
Editor's Note Clinical and managerial competence, engagement with employees, and presence on the unit were the most important factors for retaining a satisfied nursing workforce in this study. A total of 279 nurses at a 391-bed Magnet hospital were surveyed with the Baptist Health Nurse Retention Questionnaire. Results showed that…
Analysts predict 5% growth for GI endoscopy device market
Editor's Note The global market for gastrointestinal (GI) endoscopy devices is expected to see a compound annual growth rate of 5.09% through 2020, the June 13 Beckerโs GI & Endoscopy reports. A large, growing patient pool is driving growth, but risks and complications tied to GI endoscopy procedures also will…
Relationship between bariatric surgery outcomes and Medicare expenditures
Editor's Note Medicare payments for bariatric surgery are significantly lower at hospitals with low complication rates, and cost savings are most prominent in patients at highest risk for complications, this study finds. The analysis of 38,374 bariatric surgery patients found a strong correlation between complication rates and episode paymentsโhospitals in…
FDA releases list of reusable devices requiring new validated IFU, validation data
Editor's Note The Food and Drug Administration (FDA) on June 9 released a list of reusable devices that will require new validated instructions for use (IFU) and validation data in premarket notifications regarding cleaning, disinfection, and sterilization. These actions are effective August 8, 2017. The list includes: Bronchoscopes (flexible or…
Racial disparities in surgical mortality narrowing
Editor's Note Despite concerns that quality improvement efforts may widen disparities, national racial disparities in surgical mortality are narrowing, this study finds. Using Medicare claims data from 2005 to 2014, Harvard researchers found that, overall, national mortality trends improved for both black and white patients by 0.10% and 0.07% per…
FDA extends UDI compliance dates for Class I, unclassified devices
Editor's Note The Food and Drug Administration (FDA) has notified medical device labelers that the compliance dates for unique device identifier (UDI) requirements for Class I and unclassified medical devices has been extended from September 24, 2018, to September 24, 2020, and for direct mark requirements from September 24, 2020,…
National Time Out Day is June 14
Editor's Note National Time Out Day, June 14, highlights the importance of taking a time out and increases awareness of safe practices that lead to optimal surgical patient outcomes. The Joint Commission is partnering with AORN on National Time Out Day to ask every perioperative team member to be a…
Effect of RN age, experience on transformational leadership qualities
Editor's Note Transformational leadership qualities develop throughout an RNโs career, even outside of upper management levels, finds this study. Earlier studies have shown that leadership capabilities are strongest within CNO and director positions. The study, which included 261 active RNs, also shows that those with management experience and more than…