Tag: Best practices

Study: No significant link between GLP-1 drugs, postoperative aspiration pneumonia

Editor's Note Preoperative use of GLP-1 receptor agonists was not significantly associated with an increased risk of aspiration pneumonia or acute respiratory failure after surgery, according to a March 4 report in MedPage Today. The article focuses on a retrospective cohort study of over 366,000 surgical patients found no meaningful…

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By: Matt Danford
March 14, 2025
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Analysis: How the new US malpractice standard puts evidence-based ‘reasonable care’ over customary practice

Editor's Note A February 26 letter in JAMA Network reported a revised legal standard for medical negligence in the US, shifting from traditional reliance on customary practice toward a more patient-centered, evidence-based definition of “reasonable care.” The American Law Institute (ALI) updated its framework in 2024, retaining elements of prevailing…

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By: Tarsilla Moura
March 12, 2025
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New colonoscopy guidelines increase bowel prep quality expectations

Editor's Note New consensus recommendations from the US Multi-Society Task Force on Colorectal Cancer (MSTFCRC) set a 90% adequacy benchmark for bowel preparation in colonoscopy, reinforcing the role of preparation in ensuring accurate screenings and reducing the risk of missed lesions. As detailed in a March 4 joint press release…

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By: Matt Danford
March 10, 2025
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New legal standard redefines medical negligence

JAMA (healthcare publication) Network logo

Editor's Note A revised legal standard for assessing medical negligence in the US shifts away from customary medical practice and toward a more patient-centered definition of reasonable care, according to a February 26 letter published in Jama Network. Following a 2024 update from the American Law Institute, the new framework…

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By: Matt Danford
March 7, 2025
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Fresh tools, talking points drive sharps safety culture shift

Takeaways • The prevalence of needlesticks and other sharp object injuries to OR team members is 42.8%, an increase of 16% over the past decade. • New research and perspectives are shaping the discourse around sharps safety, such as new and expanded evidence-based practices presented in AORN’s 2025 update to…

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By: Carina Stanton
March 5, 2025
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4 ways ASCs balance strict infection control, limited resources

Reduced costs, faster recovery, and other advantages can make outpatient surgical procedures more convenient for providers and patients alike. Ambulatory surgery centers (ASCs) are incredibly safe, but a lot of work goes into infection control. Cross-trained staff often wear many hats, and limited budgets may not leave room for dedicated…

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By: Christy Newland
March 5, 2025
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Commentary: Studies show how surgeon decisions follow the money

Editor's Note Financial incentives can shape surgeons’ decision-making, but their effectiveness depends on the structure of the payment model. This is the central message of a January 26 article in Forbes reporting on two studies: one linking a sharp increase in hernia cases to a simple Medicare coding change, and…

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By: Matt Danford
January 30, 2025
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Study: Geriatric surgery program improves outcomes, independence

Editor's Note Older cancer patients undergoing major abdominal procedures at Roger Williams Medical Center in Providence, Rhode Island, significantly benefitted from the American College of Surgeons (ACS) Geriatric Surgery Verification (GSV) program, Medical Xpress reported December 10. Citing a study published in the Journal of the American College of Surgeons,…

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By: Matt Danford
December 18, 2024
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ASA recommendations target postoperative delirium in older patients

Editor's Note Efforts to reduce the risk of postoperative delirium in older patients should focus on preoperative evaluation, anesthesia choices, and medication management, according to the American Society of Anesthesiologists (ASA). Designed specifically for treating adults aged 65 and older undergoing inpatient surgery, these new, evidence-based recommendations are presented in…

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By: Matt Danford
December 12, 2024
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Study: Antibiotic de-escalation reduces adverse outcomes in patients with sepsis

Editor's Note A study analyzing data from 124,577 suspected sepsis cases across 236 US hospitals found that antibiotic de-escalation—switching to narrower-spectrum antibiotics or stopping broad-spectrum antibiotics—occurred in less than 30% of cases but was associated with improved patient outcomes, according to December 6 report from the Center for Infectious Disease…

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By: Matt Danford
December 10, 2024
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