Surgery/Specialties

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Heater-cooler devices linked to Mycobacterium chimaera outbreak

Editor's Note A global outbreak of Mycobacterium chimaera has been linked to heater-cooler devices used in cardiac surgery, this study finds. Investigators found M chimaera in heater-cooler device water circuits and air samples while the devices were running, suggesting airborne transmission from the device to the surgical site. New heater-cooler…

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By: Judy Mathias
November 14, 2016
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Study: Total hip outcomes are gender specific

Editor's Note Total hip outcomes such as pain, function, range of motion, and strength are different for men and women, which could lead to gender-specific rehabilitation programs, finds this study presented November 9 at the 2016 ACR/ARHP [American College of Rheumatology/Association of Rheumatology Health Professionals] Annual Meeting. Researchers from the…

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By: Judy Mathias
November 14, 2016
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Smart marketing helps ASCs attract patients and surgeons--Part 2

Standing out from the competition in any industry requires the use of effective marketing tactics. In the case of ambulatory surgery centers (ASCs), these tactics can be divided into physician referral, recruitment, and retention; online; and internal and external marketing. Here is a closer look at each of these. (For…

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By: OR Manager
November 14, 2016
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Effect of acute, postacute care on hip fracture outcomes

Editor's Note For older hip fracture patients, the care they received at a postacute care facility had a three to eight times greater impact on their long-term recovery than the care they received at the hospital, this study finds. Nursing home factors explained three times more variation in the odds…

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By: Judy Mathias
November 7, 2016
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QI program for bariatric surgery reduces readmissions

Editor's Note The first national quality improvement (QI) program for bariatric surgery reduced readmissions by more than 30% for some hospitals, finds this study presented November 2 at ObesityWeek 2016, the annual conference of the American Society for Metabolic & Bariatric Surgery (ASMBS). The average hospital saw 30-day readmissions drop…

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By: Judy Mathias
November 3, 2016
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Effectiveness of PSH model in pediatric settings

Editor's Note Use of the Perioperative Surgical Home (PSH) model in patients with adolescent idiopathic scoliosis undergoing posterior spinal fusion improved surgical outcomes, this study finds. A multidisciplinary group created evidence-based protocols for preoperative, postoperative, and postdischarge patient care. Anesthesiologist comanagement of patients also allowed a new pathway for patients…

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By: Judy Mathias
November 1, 2016
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ACS announces education program on opioid use in surgical patients

Editor's Note The American College of Surgeons (ACS) on October 31 announced a new initiative to improve the knowledge and management of pain in surgical patients, with a focus on opioid risks and non-opioid alternatives. The initiative, titled, “Opioids and Surgery: Use, Abuse, and Alternatives,” will encompass the following: evidence-based…

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By: Judy Mathias
November 1, 2016
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Effect of hospital, patient factors on readmissions, mortality

Editor's Note Patient level factors dominated the increased readmission risks after colorectal surgery at minority-serving hospitals, while hospital factors were less contributory, this study finds. Patient factors accounted for 65% of the increase in odds for readmission, and hospital-level factors accounted for 40%. Inpatient mortality was significantly greater at minority-serving…

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By: Judy Mathias
October 31, 2016
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60 ACS NSQIP hospitals achieve meritorious outcomes

Editor's Note The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) on October 28 recognized 60 of 603 participating hospitals for achieving meritorious outcomes in surgical patient care in 2015. The recognition program commends a select group of hospitals for achieving a meritorious composite score that is…

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By: Judy Mathias
October 31, 2016
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On-pump vs off-pump CABG

Editor's Note On-pump and off-pump coronary artery bypass grafting (CABG) are equally safe and effective, this study finds. At 5 years there was no significant difference between on-pump and off-pump CABG in combined rates of death, stroke, myocardial infarction, renal failure, or subsequent revascularization procedures (23.6% vs 23.1%). There also…

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By: Judy Mathias
October 27, 2016
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