Safety of PACU discharge without motor function assessment after spinal anesthesia
Editor's Note Discharge from the postanesthesia care unit (PACU) without assessment of lower limb motor function after spinal anesthesia for total hip or knee arthroplasty did not increase length of hospital stay or readmissions but significantly reduced time in the PACU (0.40 vs 1.56 hours), this study finds. This multicenter…
ECRI Institute announces release of CrossCHEQ
Editor's Note ECRI Institute on June 6 announced the release of CrossCHEQ, its new service that offers unbiased guidance on equivalent alternatives for medical-surgical supplies and implants. By comparing key performance indicators, buyers can assess opportunities for standardization and better respond when products are out of stock or recalled. The…
Value-based reforms linked to readmission reduction
Editor's Note Hospital participation in value-based reforms was associated with greater reductions in 30-day readmissions, this study finds. In this analysis of 2,837 hospitals between 2008 and 2015, researchers found that participation in one or more voluntary Medicare value-based reforms, which included the Meaningful Use of Electronic Health Records program,…
US Representatives ask Secretary Priceโs assistance with ASC inflationary update measure
Editor's Note A bipartisan group of 24 US Representatives sent a letter to Department of Health and Human Services Secretary Tom Price, MD, on May 26 asking him to use his statutory authority to move ambulatory surgery centers (ASCs) from the Consumer Price Index for All Urban Consumers (CPI-U) to…
Trauma centers with ACS verification have fewer complications
Editor's Note Trauma centers verified by the American College of Surgeons Committee on Trauma (ACS-COT) have fewer complications among pediatric, elderly, and severely injured patients, finds this study. The odds of experiencing any major complication were more than 3.0 times greater for elderly patients in trauma centers without ASC-COT verification…
Physician practice ownership drops below 50%
Editor's Note For the first time, less than half of physicians have an ownership stake in their practices, according to a study by the American Medical Association. Surgical sub-specialties have the highest share of physician owners (59.3%), followed by radiology (56.3%). Emergency medicine has the lowest share of owners (27.9%)…
Study shows positive results for new AAA graft in women
Editor's Note Thirty-day data from the 225-patient LUCY (Evaluation of FemaLes who are Underrepresented Candidates for Abdominal Aortic AneurYsm Repair) Study showed that at least 28% more women became eligible forย minimally invasive endovascular abdominal aortic aneurysm (AAA) repair when using Endologixโs (Irvine, California) Ovation abdominal stent graft system, according…
BLS: Hospital employment up 0.15% in May
Editor's Note Hospital employment rose 0.15% in May to a seasonally adjusted 5,104,400 workers, the Bureau of Labor Statistics (BLS) reported on June 2. This is 7,400 more employees than in April and 95,500 more than a year ago. The nationโs unemployment rate fell by 0.1% in May to 4.3%.…
Ketamine doesnโt affect postop delirium, pain
Editor's Note Ketamine does not decrease delirium or lower levels of pain in older adults after major surgery and might cause harm by inducing hallucinations and nightmares, this study finds. A total of 672 patients were randomly assigned to a placebo group (222 patients), a 0.5 mg/kg ketamine group (227),…
AHRQ releases stats on outpatient, inpatient surgeries
Editor's Note According to statistics from the Agency for Healthcare Research and Quality (AHRQ), in 2014, 17.2 million hospital visits (inpatient and outpatient) included surgical procedures. More than half (57.8%) occurred in a hospital-owned outpatient surgery setting, and the remaining (42.2%) were inpatient. Private insurance was the primary payer for…