Editor's Note This study found that implementation of a clinical practice guideline for management of pediatric complicated appendicitis standardized practice patterns among surgeons and was associated with reduced resource use and improved patient outcomes. Compared with the pre-guideline group, patients in the post-guideline group were less likely to: receive a…

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Editor's Note The Joint Commission on March 16 announced that the new Patient Blood Management Certification Review Process Guide (2016) is now available. Contents include a description of activities that take place during an on-site certification review and tips to prepare for the review process.   Patient Blood Management Certification…

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Editor's Note The Society of Gastroenterology Nurses and Associates (SGNA) has released two new standards focused on infection prevention. The revised “Standards of Infection Prevention in Reprocessing of Flexible Gastrointestinal Endoscopes” details nine steps for successful reprocessing. The previous standard had eight steps—visual inspection used to be included with manual…

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Editor's Note The American Pain Society, American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists have issued a new guideline on the “Management of Postoperative Pain.” The guideline provides recommendations that address aspects of postoperative pain management, including: preoperative education perioperative pain management planning use…

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Editor's Note The Food and Drug Administration (FDA) on January 26 published draft guidance for “Design considerations and premarket submission recommendations for interoperable medical devices” to assist medical device manufacturers in designing products that are interoperable and can securely share data. The draft includes factors to consider when developing the…

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Editor's Note The American College of Surgeons and American Geriatrics Society on January 4 released a new best practice guideline for optimal care of older adults before, during, and after surgery. The new guideline, “Optimal Perioperative Care of the Geriatric Patient,” addresses the care of surgical patients 65 years old…

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Editor's Note New clinical practice guidelines from the Society of Thoracic Surgeons recommend the use of arteries from the chest and forearm rather than using veins from the leg for coronary artery bypass grafting. The left internal thoracic artery is considered the gold standard conduit for coronary bypass and has…

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Editor's Note Since publication of the Appropriate Use Criteria for Coronary Revascularization in 2009, the number of nonacute percutaneous coronary interventions (PCIs) has declined significantly (89,704 vs 59,375). The proportion of nonacute PCIs classified as inappropriate has also declined (26.2% vs 13.3%), although hospital-level variation persists. These findings indicate that…

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Editor's Note A heating, ventilating, and air conditioning task force on September 28 issued interim guidance to help health care facilities maintain appropriate temperature and humidity in ORs and sterile processing departments, AHA News reports. The interim guide was developed as the task force is working to achieve consensus on…

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Editor's Note The release of 2002 guidelines on preoperative testing by the American Society of Anesthesiologists, American College of Cardiology, and American Heart Association was associated with a reduction in routine ECG testing but not of x-rays, hematocrit, urinalysis, or cardiac stress testing, in this study. Because routine preoperative testing…

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