Editor's Note A Studer Group survey finds that nearly 90% of physicians have experienced burnout, and almost two-thirds say they are thinking about leaving the profession, the February 2 EHR Intelligence reports. Among the major causes of burnout cited were overcompensating for low staffing levels and the regulatory burdens of…

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Editor's Note The flexibility for surgical residents to work longer shifts than currently allowed or take less time off between shifts to provide continuity of care was not associated with a greater risk of postoperative patient complications or death, a new study finds. There was also no significant difference in…

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Editor's Note Hospitals with better nursing work environments and above-average staffing levels were associated with better surgical value (ie, lower mortality with similar costs), especially for higher-risk patients, researchers from the University of Pennsylvania, Philadelphia, found. The study compared outcomes and patient costs at 35 focal hospitals recognized nationally as…

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Editor's Note Analyzing data from the National Cancer Data Base, researchers found that rectal cancer patients who had surgery at precisely 8 weeks (56 days) after the end of combined chemoradiotherapy had the best overall survival and successful removal of their residual tumors. This 6-year study of nearly 12,000 patients…

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Editor's Note The Oregon Outpatient Surgery Center (Tigard, Oregon) is the first ambulatory surgery center in the Northwest to perform same-day total hip replacements, the January 4 Oregonian reports. The center offers both posterior and anterior total hips for qualified patients. Patients are carefully screened and must be in good…

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Editor's Note This 20-year study of more than 11,000 solid organ transplant patients found they had a 1.93 to 2.84 times higher risk of dying from cancer. The risk was highest for skin cancer, followed by non-Hodgkin's lymphoma, and liver cancer. The administration of immunosuppressants or less aggressive cancer treatment…

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Editor's Note A new, optional advanced certification program for total hip and total knee replacement is now available from the Joint Commission. The program will help accredited hospitals, critical access hospitals, and ambulatory surgery centers provide a consistent approach to patient care that reduces the risk of error and improves…

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Editor's Note Very low pressure irrigation with saline is an acceptable, low-cost alternative for irrigating open fractures, this study finds. Managing open fractures requires wound irrigation and debridement, but the effectiveness of various pressures and solutions remains controversial. Researchers investigated the effects of castile soap versus normal saline irrigation delivered…

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Editor's Note Cardiac complications are the leading cause of death within 30 days after noncardiac surgery. This article reviews what is known about perioperative cardiac complications (ie, from induction of anesthesia to within 30 days after surgery), preoperative methods of predicting complications, perioperative cardiac interventions, and postoperative monitoring. The researchers…

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Editor's Note The Joint Commission and AABB (formerly known as the American Association of Blood Banks) have announced a partnership to provide a joint hospital certification program for patient blood management. The voluntary certification will be available in 2016 and is based on the AABB Standards for a Patient Blood…

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