Bill to repeal, replace Affordable Care Act released
Editor's Note The 123-page bill, called the “American Health Care Act,” was released March 6, Modern Healthcare reports. The bill replaces the Affordable Care Act’s (ACA’s) income-based premium tax credits with age-based tax credits. It also enhances federal funding for states to expand Medicaid to low-income adults, and it converts…
CDC publishes cancer screening stats
Editor's Note More adults are getting screening tests for colorectal cancer but not for breast or cervical cancers, according to new data from the Centers Disease Control and Prevention (CDC). From 2000 to 2015, the rate of colorectal cancer screening increased from 33% to 62% in men and from 35%…
Impact of role stressors on nurse managers’ health
Editor's Note This Canadian study finds that nurse managers’ coping strategies may be inadequate and could negatively impact their long-term health. Interviews with 23 nurse managers and 1 focus group found that nurse managers have severely high levels of role stressors that include: Working with limited resources (budget and staff).…
New tool predicts outcomes in elderly traumatic brain injury patients
Editor's Note Researchers at Wake Forest University, Winston-Salem, North Carolina, have developed a tool that helps predict the possibility of survival and independence at discharge for elderly patients with traumatic brain injury. The tool, which accounts for variables such as age, gender, and severity of brain injury, was evaluated in…
Joint Commission, CDC collaborate on ambulatory infection prevention
Editor's Note The Joint Commission and Centers for Disease Control and Prevention (CDC) announced March 3 that they are collaborating on a project designed to adapt, enhance, and disseminate CDC guidelines related to infection prevention in ambulatory healthcare settings. The goal of the initiative, called “ADOPT (Adaptation and Dissemination Outpatient…
Robotic vs conventional laparoscopic cholecystectomy
Editor's Note Robotic cholecystectomy was associated with greater operative times but with similar safety and outcomes as conventional laparoscopic cholecystectomy, in this study. The analysis included 13 studies involving 1,589 cholecystectomy patients (921 laparoscopic, 668 robotic). Operative time for the robot-assisted procedure was 128.0 minutes vs 115.3 minutes for laparoscopic.…
CDC: 20-fold increase in Zika-associated birth defects
Editor's Note The Centers for Disease Control and Prevention (CDC) reported March 2 that the proportion of US pregnancies with Zika-associated birth defects is approximately 20 times higher than it was before introduction of the virus into the US. Between January 15 and September 22, 2016, the US Zika Pregnancy…
Study: Surgery not mandatory for all gunshot wounds
Editor's Note Selective nonoperative management of abdominal gunshot wounds is an acceptable and effective treatment for patients with less severe injuries that do not involve major organ damage or significant blood loss, this study finds. Of 922 patients with abdominal gunshot wounds analyzed, 707 had an immediate laparotomy and 215…
Incidence, risk factors for SSIs after hysterectomy
Editor's Note In women undergoing hysterectomies largely because of gynecologic malignancies, duration of surgery was a significant surgical site infection (SSI) risk, finds this study. Choice of preoperative antibiotic did not affect SSI risk. Of 1,531 hysterectomies analyzed, there were 52 SSIs, with 60% being deep incisional or organ/space infections.…
Joint Commission issues new alert on safety culture
Editor's Note The Joint Commission on March 1 issued a new Sentinel Event Alert on “The essential role of leadership in developing a safety culture.” Leadership’s failure to create an effective safety culture is contributing to adverse events such as wrong-site surgery and delays in treatment, the Joint Commission says.…