Study: CMS sepsis care protocol shows no clear mortality benefit
Editor's Note A systematic review found no strong evidence that compliance with the CMS Severe Sepsis and Septic Shock Management Bundle (SEP-1) reduces mortality, raising questions about its inclusion in hospital performance measures, according to a February 19 report from the University of Minnesota’s Center for Infectious Disease Research and…
Study: Weekend effect raises risk of surgical patient mortality, complications
Editor's Note A March 4 study in JAMA Network Open underscores the persistence of the “weekend effect,” a surgical care phenomenon in which the risk of postoperative complications, readmissions and mortality rises immediately before the weekend. The research suggests variations in staffing, resource availability, and care coordination may contribute to…
Texas abortion ban linked to spike in pregnancy complications, maternal death
Editor’s Note Pregnancy complications—including life-threatening sepsis—surged in Texas after the state banned abortion in 2021, according to a ProPublica analysis of seven years’ worth of state hospital data. In a February 20 report, the outlet details how sepsis rates for women hospitalized after second-trimester pregnancy loss rose by more than…
Study: Perioperative pregabalin reduces risk of kidney decline compared to gabapentin
Editor's Note The first study to directly compare kidney-related adverse outcomes between perioperative use of gabapentin and pregabalin shows that the former drug carries a higher risk, Renal and Urology News reported January 21. Published in Frontiers in Medicine, the study involved a trial emulation of 1,280 propensity-matched surgical patients…
Study: Black CABG patients disadvantaged in accessing best hospitals
Editor's Note Black patients are less likely to receive surgery at hospitals with the lowest mortality rates despite living closer to these facilities, according to a new study examining Medicare patients undergoing coronary artery bypass grafting (CABG) from 2017 to 2019. Authors suggest that physician referral patterns may play a…
Study: Advanced recovery room care could reduce long-term postoperative mortality
Editor's Note Findings from The ARRC II study show using advanced recovery room care (ARRC) for medium-risk surgical patients significantly reduces 18-month postoperative mortality compared to standard ward care. As detailed in a December 11 research letter in JAMA Surgery, this benefit appears linked to minimizing early postoperative complications, which…
Study finds high rates of preventable, adverse events in perioperative care
Editor's Note Adverse events (AEs) remain widespread in perioperative care, affecting nearly one in three patients and resulting in substantial and often preventable patient harm, according to a retrospective cohort study published November 13 in The BMJ. The study analyzed 1,009 weighted admissions from a sample of 64,121 surgical patients…
Study: Repeated fasting for multiple surgeries risks malnutrition, mortality
Editor's Note Research shows repeated fasting for multiple surgeries during a single hospital stay significantly raises the risk of protein-calorie malnutrition, leading to longer recovery times, increased healthcare costs, and a higher likelihood of death. HealthDay covered the news October 21. Presented at the American Society of Anesthesiologists annual meeting,…
Countdown to OR Manager Conference: Protect your workplace from violence—How to build a safe environment
Editor's Note Beth Chrismer, MSN, RN, CPHRM, former director of clinical excellence at CHRISTUS Good Shepherd Health System, shared insights into a tragic workplace violence incident that occurred in 2013 at a Texas ambulatory surgery center (ASC) at last year’s OR Manager Conference. Chrismer was risk manager at the time…
Alternative to mitral valve surgery shows promise, but research criticized
Editor's Note Although data suggest transcatheter edge-to-edge repair (TEER) using the MitraClip device may offer similar outcomes to mitral valve surgery in patients with heart failure and functional mitral regurgitation (FMR), experts have criticized the research, TCT MD reported September 1. Presented at the recent European Society of Cardiology (ESC)…
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