Physicians Editor's Note No difference was found in the effect of perioperative ß-blockade (metoprolol continuous release 200 mg for 30 days) versus placebo on postoperative outcomes between older and younger patients in this study (POISE [perioperative ischemia evaluation] trial). In this analysis of 8,351 patients from 190 centers in 23 countries,…
Editor's Note In this study to evaluate the efficiency and safety of overlapping surgery at the University of Alabama, Birmingham, researchers found that the practice does not expose patients to increased risk of negative outcomes. Of 26,260 cases analyzed for surgical time and 15,106 for outcomes, overlapping surgery patients had:…
Editor's Note Physicians are more likely to leave the profession or reduce their hours if they are uncomfortable using electronic health records (EHRs), the January 24 Medical Economics reports. Although EHRs have the potential to enhance quality of care and clinical coordination, they also increase risk of physician burnout, reduce…
Editor's Note The Joint Commission on January 24 announced that its January Quick Safety examines second victim experiences and safety actions to consider, and it also includes an anonymous, personal story of a Joint Commission employee who is a second victim. Though the patient and family are the priority for…
Editor's Note The Joint Commission on January 3 announced that it is no longer requiring hospitals, critical access hospitals, or ambulatory care organizations to credential and privilege pathologists who provide diagnostic services through independent reference (contract) laboratories. The Joint Commission says accredited organizations can safely presume that pathologists who work…
Editor's Note The prevalence of work-related musculoskeletal disorders in surgeons and interventionalists is high, this meta-analysis finds. Of 5,828 physicians, there was: degenerative cervical spine disease in 17% rotator cuff pathology in 18% degenerative lumbar spine disease in 19% carpal tunnel syndrome in 9%. From 1997 to 2015, the prevalence…
Peer review is a hot topic in the quality arena as many ambulatory surgery centers (ASCs) strive to create meaningful and sustainable evaluation of their providers. “As a surveyor, I can tell you peer review trips everybody up,” says Ann Geier, MS, RN, CNOR, CASC, chief nursing officer of Surgical…
Editor's Note Overlapping surgery can be safely performed without risking patient safety, this study from Emory University Hospital finds. Of 2,275 neurosurgical cases included in the analysis, 1,303 were overlapping and 972 were nonoverlapping. The researchers found no difference between overlapping and nonoverlapping neurosurgical procedures in terms of 90-day postoperative…
Editor's Note The burden and bureaucracy of today’s practice of medicine are major factors influencing physicians’ intentions to reduce work hours or leave the profession, finds this study from the American Medical Association, Mayo Clinic, and Stanford University. Of nearly 36,000 physicians across all specialties surveyed, 6,880 (19.2%) responded. Nearly 1…
Editor's Note Surgeon’s cloth skull caps that expose small amounts of the ears and hair are not inferior to bouffant disposable hats that cover those features, finds this study presented October 25 at the American College of Surgeons Clinical Congress 2017 in San Diego and published online October 26 in…
