Editor's Note Ketamine use has grown as a pain management alternative to opioids, but more than one in three patients experience side effects such as hallucinations and visual disturbances, finds this study, which was presented October 21 at the Anesthesiology 2019 annual meeting in Orlando, Florida. Duke University researchers categorized…

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Editor's Note New research from the ECRI Institute finds that diagnostic tests and medication events are the most frequent safety risks patients face in ambulatory care. ECRI Institute’s “Deep Dive: Safe Ambulatory Care, Strategies for Patient Safety & Risk Reduction” identifies solutions for five types of safety challenges in ambulatory…

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Editor's Note Patients having blood drawn by courteous healthcare providers were significantly more likely to say their pain was well-controlled, finds this study presented October 20 at the Anesthesiology 2019 annual meeting in Orlando, Florida. Analyzing responses from 4,740 adult patients on questions about pain control (range from 1 to…

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Editor's Note The Centers for Disease Control and Prevention on October 18 released an update to its “Guideline for infection control in healthcare personnel, 1998.” The updated document, “Infection Control in Healthcare Personnel: Infrastructure and Routine Practices for Occupational Infection Prevention and Control Services (2019),” applies to a broader range…

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Editor's Note Medical marijuana shows early promise for lessening opioid use and potential abuse in a meta-analysis presented October 20 at the Anesthesiology 2019 annual meeting in Orlando, Florida. Overall the results suggest that medical marijuana may provide some benefits such as, decreased opioid overdose rates, decreased opioid use, improved…

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Editor's Note An artificial intelligence (AI) model was able to detect breast cancer with nearly 90% accuracy when combined with analysis from radiologists, the October 18 Health IT Analytics reports. Researchers from New York University Schools of Medicine and Data Science developed the model to first consider small patches of…

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Our series on Enhanced Recovery After Surgery (ERAS), which began last month with an overview of its history and perioperative pathway, continues in this issue with examples of improved outcomes and the roles played by perioperative team members (see p 18). ERAS, known to speed recovery and increase patient satisfaction,…

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The US has been on a journey for the last several years to reduce the cost of healthcare. In 2017, the percent of gross domestic product attributed to healthcare goods and services was at 17.9%. This is expected to reach as much as 19.4% by the year 2027.1 Factors contributing…

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Internal surgical staplers made headline news in 2019. Reports discussed the little-known US Food and Drug Administration database housing tens of thousands of stapler-related problem reports and covered the agency’s recent proposal to reclassify staplers as Class II devices, instead of the more lightly regulated Class I. ECRI Institute named…

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  Total knee arthroplasty (TKA) is a highly effective treatment for end-stage degenerative joint disease and has helped patients regain functional mobility with reduced pain and improved quality of life. Every year, almost 700,000 primary TKA procedures are performed in the US.1 This number is expected to grow to 3.48…

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