Editor's Note Non-operative management (NOM) with antibiotics for pediatric uncomplicated appendicitis is both less expensive and slightly more effective than urgent laparoscopic appendectomy over a one-year period, according to a study published November 19 in the Journal of the American College of Surgeons. The findings support the viability of NOM…

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Editor's Note The Centers for Medicare & Medicaid Services (CMS) issued its final rule for the 2025 calendar year, updating payment systems and quality reporting requirements across healthcare settings, JD Supra November 19 reports. Effective January 1, 2025, the rule outlines significant changes to Medicare payments and conditions for participation…

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Editor's Note During the past few years, US hospitals have improved significantly in reducing healthcare-associated infections (HAIs), adhering to hand hygiene best practices, and preventing medical errors, according to the fall 2024 Hospital Safety Grades from The Leapfrog Group, a nonprofit focused on patient safety. Released November 15, the rankings…

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Editor's Note The American College of Surgeons (ACS) has recognized 77 US hospitals for “exceptional surgical outcomes” in 2023 based on performance metrics tracked as part of the ACS National Surgical Quality Improvement Program (NSQIP). According to an October 30 ACS announcement, these hospitals were selected from among 609 eligible…

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Editor's Note Starting October 1, US hospitals participating in Medicare's Inpatient Quality Reporting Program will need to report adherence to 25 patient safety best practices, as mandated by the Centers for Medicare & Medicaid Services (CMS). According to a September 4 report from the Association of Health Care Journalists, the…

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Editor's Note The Centers for Medicare & Medicaid Services (CMS) is expanding its social determinants of health (SDoH) initiatives to include outpatient settings, starting with voluntary reporting in 2025 and moving to mandatory reporting in 2026, MedLearn Publishing August 26 reports. This expansion aims to address gaps in care by…

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Editor's Note CMS hospital star ratings may not be a reliable tool for assessing surgical quality, according to a study published June 18 in JAMA Surgery. Researchers acknowledge that higher ratings are generally associated with improved postoperative outcomes, including fewer complications and lower 30-day mortality rates. However, as reported by…

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Editor's Note Designed to address high rates of preventable medical errors, a new initiative from The National Quality Form (NQF), an affiliate of The Joint Commission, will modernize criteria for what constitutes a Serious Reportable Event (SRE) and align standards for reporting such events across different accountability systems. Dubbed “Focus…

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Editor's Note Although the use of propofol for colonoscopy has been rising due to beliefs that deep sedation leads to greater patient comfort, a recent systematic review and meta-analysis of nearly 1,500 patients from nine randomized controlled trials shows this view is not supported by available evidence. Published March 8…

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What if a surgeon decided to perform a procedure on a patient that was not totally necessary? It happens more often that one might realize. As recently as August 2023, Forbes published an article that cited a Harvard Business Review report stating that over 50% of lumbar spine surgeries are…

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