FDA: Class I recall of Hamilton–G5 Ventilators
Editor's Note The Food & Drug Administration on July 12 identified the recall by Hamilton Medical AG (Bonaduz, Switzerland) of its Hamilton-G5 Ventilators as Class I, the most serious. The recall was initiated because of a software failure that stops the ventilators after displaying an error message, leaving patients to…
Study: Practice of overlapping colorectal surgical procedures is safe
Editor's Note In this study, overlapping surgery in a tertiary care colorectal surgery practice was found to be safe and not linked to adverse patient outcomes. Of 1,270 patients having inpatient colorectal surgery at the Mayo Clinic, between 2012 and 2015, overlapping surgery occurred in 576 patients. Overall adverse events…
Disadvantaged neighborhoods linked to higher readmission rates
Editor's Note Residing in a disadvantaged neighborhood in Maryland and being discharged from a hospital serving a large proportion of disadvantaged neighborhoods were independently associated with increased risk of readmission in this study. 2015 data from Maryland hospitals showed a 14.1% 30-day readmission rate for patients living in neighborhoods in…
CMS penalty program not linked to hospital safety improvements
Editor's Note The Centers for Medicare and Medicaid Services (CMS) hospital penalization in the Hospital Acquired Condition Reduction Program (HACRP) was not associated with significant changes in rates of hospital acquired conditions (HACs), 30-day readmissions, or 30-day mortality and does not appear to drive meaningful clinical improvements, this study finds.…
HHS forms group to streamline quality programs
Editor's Note The Department of Health and Human Services (HHS) announced on July 9 that it has formed a summit of key industry stakeholders and government leaders to provide insight as the Trump administration seeks to streamline, improve, and align measures used across federal healthcare quality programs. The Quality Summit,…
Sleep disorders linked to more healthcare visits, higher costs for back pain
Editor's Note Many patients with low back pain also have sleep disorders, which are linked to more healthcare visits and higher costs for back pain treatment, this study finds. In this analysis of 757 patients with low back pain attending self-management classes at a US military hospital, 195 had a…
FDA: Class I recall of Edwards Lifesciences’ IntraClude Intra-Aortic Occlusion Device
Editor's Note The Food and Drug Administration on July 1 identified the recall by Edwards Lifesciences (Irvine, California) of its IntraClude Intra-Aortic Occlusion Device as Class I, the most serious. The recall was initiated because of a risk of balloon rupture during use in patients undergoing cardiopulmonary bypass. The company…
Preop opioid, benzodiazepine use linked to postop mortality, opioid consumption
Editor's Note Use of opioids and benzodiazepines 6 months before surgery was associated with increased short- and long-term mortality and an increased rate of persistent postoperative opioid consumption, this study finds. In this analysis of 41,170 noncardiac surgical cases in 27,787 patients in Iceland, preoperative prescriptions for opioids only were…
Predictive model for determining LOS after total hip
Editor's Note In this study, a predictive model that can help identify patients at higher odds for not requiring a prolonged hospital length of stay (LOS) after total hip arthroplasty was developed and validated and a point-based calculator was designed. The calculator included nine variables: age, opioid use, metabolic equivalents…
Influence of age, weight on oxygenation impairment during anesthesia
Editor's Note Oxygenation was impaired by anesthesia more often in patients with greater age or body mass index, this study finds. This retrospective analysis of data from two hospitals found key contributors to impaired oxygenation were low ventilation/perfusion ratios because of airway narrowing and closure in the elderly and atelectasis-induced…
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