Editor’s Note. This article presents value-based analyses on the use of Mako robotic technology in total knee, partial knee, and total hip arthroplasty. The authors are with Stryker Orthopaedics in Mahwah, New Jersey.   Joint arthroplasty is an effective procedure to treat advanced osteoarthritis of the hips and knees. It…

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Most high-performing ORs share something in common—an anesthesia group that is actively engaged in perioperative leadership, takes responsibility for organizational performance, and is fully invested in the success of the OR. Unfortunately, in many ORs, anesthesia providers focus narrowly on services and procedures, not the total performance of the surgery…

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Editor's Note The Food and Drug Administration (FDA), on April 9, sent a letter to healthcare providers recommending they “transition away from crisis capacity conservation strategies,” including disinfection and reuse of N95 masks. Though the FDA believes there is an adequate supply of N95s now to facilitate this transition, the…

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Editor's Note This study from the department of family and sports medicine, Kaiser Permanente Medical Center, Fontana, California, finds that a lack of physical activity was strongly associated with a greater risk of severe COVID-19 and death. This analysis compares outcomes in 48,440 adults diagnosed with COVID-19 between January and…

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Editor's Note The Joint Commission, on April 14, announced that new Heads-Up Reports for first quarter 2021 are now available for all accredited programs. The downloadable report is posted in the “Resources and Tools” section of an organization’s secure Joint Commission Connect extranet site. Each report identifies important topics or…

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Editor's Note In this study from the University of Denver and the University of Pennsylvania, Philadelphia, respondents to two surveys agreed with the National Academies of Science, Engineering, and Medicine’s prioritization framework for COVID-19 vaccination. Of 4,735 respondents (2,730 to a Gallup survey and 2,005 to a COVID Collaborative survey):…

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Editor's Note The Joint Commission, on April 14, issued Sentinel Event Alert 63: Optimizing smart infusion pump safety with DERS [dose error reduction software]. Though smart infusion pumps combine computer technology and drug libraries (stored in DERS) to limit the potential for dosing errors, errors still occur each year. Bypassing…

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Editor's Note This study from Brigham and Women’s Hospital, Boston, and the University of Pennsylvania, Philadelphia, estimates the national revenue loss because of cessation of major elective surgeries during COVID-19 to be $22.3 billion. Sensitivity analysis finds that the recovery time to market equilibrium once elective surgeries fully resume is…

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Editor's Note The Food & Drug Administration (FDA), on April 9, identified the recall of Medtronic’s Valiant Navion Thoracic Stent Graft System as Class I, the most serious. The recall was initiated because of the risk of stent fractures and endoleak concerns. The system is used to repair lesions of…

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Editor's Note In response to a May 2020 Centers for Medicare & Medicaid Services final rule on interoperability and patient access, The Joint Commission has created new requirements that address patient admission, discharge, and transfer notifications. The new requirements, which apply to hospitals and critical access hospitals, address the electronic…

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