Deadline for ASC nondiscrimination requirements is Oct 19
Editor's Note Ambulatory surgery centers (ASCs) must comply with nondiscrimination requirements in Section 1557 of the Affordable Care Act by October 19, the Ambulatory Surgery Center Association announced on September 28. The Act prohibits sex discrimination and requires language assistance for those with limited English proficiency and effective communication for…
FDA: Class I recall of DePuy Synthes power tool system battery adaptors
Editor's Note The Food and Drug Administration (FDA) on September 28 identified the recall by DePuy Synthes (a Johnson & Johnson company) of its Adaptor and Light Adaptor for Small Battery Drive and Small Battery Drive II as Class I, the most serious. The recall is due to the potential…
Association between bundled payments and quality outcomes
Editor's Note In the first 21 months of the Bundled Payments for Care Improvement (BPCI) initiative for total hips and knees, Medicare payments declined more for BPCI participating hospitals than nonparticipating hospitals, without a significant change in quality outcomes, this study finds. For the analysis, 31,700 total joints at 176…
Effect of propofol vs inhalation anesthesia on postop pain
Editor's Note In this meta-analysis, propofol anesthesia was associated with reduced postoperative pain intensity at 30 minutes, 1 hour, and 12 hours as well as reduced morphine-equivalent consumption 0 to 24 hours postoperatively. Fewer patients required postoperative rescue analgesics during 0 to 24 hours after surgery under propofol, and patients…
Joint Commission deletes 51 EPs
Editor's Note The Joint Commission on September 27 announced that it has deleted 51 Elements of Performance (EPs) from its hospital accreditation standards, effective January 2017. Reasons for deletion include: Similar to, implicit in, or duplicative of other EPs. Address issues that have been covered by standards for many years…
Association between OR teamwork and checklist performance
Editor's Note Surgeon buy-in and OR teamwork characterized by shared clinical leadership, open communication, active coordination, and mutual respect related positively to case-related conversation prompts, but not to completing procedural checks, this study finds. A total of 207 procedures in 10 South Carolina hospitals were included in the study. The…
Oct 1 deadline for EHR incentive program
Editor's Note First time participants in the Centers for Medicare & Medicaid Services (CMS) Electronic Health Records (EHR) Incentive Program must attest to meaningful use for a 90-day reporting period by October 1 to avoid a payment adjustment in 2017, the September 26 AHA News reports. Returning participants must report…
Air Force Academy alerts patients to improperly processed endoscopes
Editor's Note The Air Force Academy (Colorado Springs, Colorado) is notifying 267 patients from the schoolโs medical clinic and the Veterans Affairs Eastern Colorado Health Care System that they are at risk of infections from improperly processed gastrointestinal endoscopy equipment, according to the September 21 MilitaryTimes. Air Force officials say…
Postoperative outcomes significantly improve in VA hospitals
Editor's Note Postoperative outcomes in the Veterans Affairs (VA) health system have consistently improved for the past 15 years, this study finds. In this analysis of nearly 705,000 patients undergoing noncardiac surgical procedures at 143 hospitals, absolute rates and likelihood of complications, mortality, and failure to rescue significantly decreased 40%…
Patient identification errors analyzed by ECRI Institute
Editor's Note The ECRI Institute Patient Safety Organization on September 26 released its newest analysis of patient safety errorsโa Deep Dive review of reported events involving patient identification. Researchers reviewed more than 7,600 wrong-patient events occurring over a 32-month period that were voluntarily submitted by 181 healthcare organizations. Approximately 9%…