Editor's Note The Food and Drug Administration on May 16 announced the recall by Abbott of specific lots of three coronary dilation and balloon catheters: NC Trek RX Coronary Dilation Catheter NC Traveler Coronary Dilation Catheter NC Tenku RX PTCA Balloon Catheter. The affected lots were manufactured between January 2015…
Editor's Note Temperatures above 90o F were associated with a 28.9% increase in odds for surgical site infections (SSIs) compared to temperatures less than 40o F in this study. Analyzing data on millions of patients in the National Inpatient Sample database from 1998 to 2011, researchers found that SSIs were seasonal, with…
Accurate OR case scheduling is a key performance indicator that is challenging to manage. The published literature often focuses on scheduling algorithms using historical data, the surgeon’s own estimate, or a mix of similar procedures. This mathematical approach neglects the cultural, economic, behavioral, and process challenges that impact attempts to…
Fine-tuning physician preference cards to reduce instrument use and sterilization is a well-known way to cut costs, but one that is often hard to implement. At Bassett Healthcare (Cooperstown, New York), we had success with a simple intervention involving collaboration with nearly 50 surgeons across multiple departments. We reviewed more…
Editor's Note A mandatory change from surgical skull caps to bouffant caps in the OR did not reduce surgical site infections (SSIs), this study finds. In this analysis of 15,000 class I (clean) surgical procedures performed 13 months before and 13 months after surgical skull caps were banned at a…
Editor's Note After emergency general surgery, frailty is associated with increased rates of mortality, discharge to an institution, and resource use, this Canadian study finds. Of 77,184 patients analyzed, 19,779 were frail. Death within 1 year of surgery occurred in 33.5% of frail patients, compared with 19.8% of nonfrail patients. Risk…
Editor's Note Center accreditation alone does not ensure high-quality care for bariatric surgical patients, this study finds. In this analysis of 145,527 patients across 165 bariatric centers of excellence, serious complication rates varied 17-fold at the national level and 2.1-fold at the state level. Complication rates varied at centers with…
Editor's Note An analysis by Absolute Reports predicts the global lumbar spine fusion market will see a 4.9% compound annual growth rate through the next 4 years, according to the April 26 Becker’s Spine Review. Driving market growth is: a growing demand for minimally invasive spine surgeries an increasing incidence…
Editor's Note Contrary to claims that overlapping surgeries are dangerous or harmful to patients, they were not found to be associated with worse patient outcomes in this study presented April 25 at the 2017 American Association of Neurological Surgeons Annual Scientific Meeting in Los Angeles. The analysis included 14,872 neurosurgical…
Editor's Note A survey of public perceptions of overlapping surgery found that only a small minority of the general public is aware of the practice. Of 1,454 respondents, 56 (3.9%) were aware of overlapping surgery, and 440 (31%) supported or strongly supported the practice. The majority believed attending surgeons should…