Why active implants demand proactive management
What happens when a surgeon uses the monopolar instrument set on 30-W coagulation mode to create an upper midline incision in a patient with a pacemaker? Pacemaker function is interrupted, causing a heart block that results in hemodynamic instability—or at least, this is what could happen without taking the necessary…
Implications of 2024 surgical care trends for the year ahead
Perioperative leaders are entering a time of uncertainty after 2024 proved to be transformative for inpatient and outpatient surgical care. Last year saw important updates from The Joint Commission and the Centers for Medicare & Medicaid Services (CMS) that emphasized improvements alongside ongoing challenges in safety, workforce shortages, reimbursement, and…
Hospital addresses barriers to patient rest, recovery
Editor's Note Implementing targeted interventions in hospitals can address common disruptions in the inpatient setting and significantly improve patient restfulness, according to a December 12 article in HealthLeaders Media. The article focuses on a study of nearly 700 patients conducted at Barnes-Jewish Hospital in St. Louis, Missouri, and published in…
Study: Psilocybin therapy reduces depression in frontline clinicians
Editor's Note Psilocybin therapy significantly reduces symptoms of depression in frontline clinicians who experienced psychological distress during the COVID-19 pandemic, according to a randomized clinical trial published December 5 in JAMA Network Open. The trial enrolled 30 clinicians, including physicians, advanced practice practitioners (APPs), and nurses, who provided frontline care…
Exclusive articles preview OR Business Management Conference sessions
Editor's Note Although the term “value-based care” dates back nearly two decades, payer reimbursement models too often seem more like volume-based care. In a presentation at the upcoming OR Business Management Conference, scheduled February 10-12 at the Saddlebrook Resort in Tampa, Florida, economist Susanna Gallani, PhD, will delve into how…
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…
FDA designates Class 1 recalls for balloon catheters, radiographic markers
Editor's Note Balloon catheters for atrial fibrillation patients and implantable radiographic markers were the subjects of separate US Food and Drug Administration (FDA) Class 1 recalls—the most severe category indicating risk of serious injury or death—announced on December 18. The first recall involves Boston Scientific’s POLARx Cryoablation devices. Higher-than-anticipated reports…
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,…
Annual Leapfrog Group awards recognize top hospitals, ASCs
Editor's Note The Leapfrog Group has announced its 2024 Top Hospital and Top Ambulatory Surgery Center (ASC) Award recipients December 17, honoring facilities for standout performance in patient safety and care quality. This year, the national employer watchdog organization named 134 hospitals and 31 ASCs as winners of the national…
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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- Legislation proposes to halt Medicare physician payment cuts
- Cigna ties executive pay to patient experience
- Proposed tax credit aims to bolster nurse preceptor ranks
- Study links financial conflicts of interest to favorable robotic bariatric surgery research
- Hospitals double down on ambulatory care expansion with major investments
- Study: Post-laparotomy incisional negative pressure wound therapy fails to reduce infection risk
- FDA announces multiple Class 1 recalls
- Study: ERAS protocol reduces opioid use after cardiac surgery
- Study: Prehabilitation reduces surgical complications, speeds recovery
- Commentary: Studies show how surgeon decisions follow the money