Postoperative pain management has always been a major focus of patient care. However, the opioid crisis is increasing the challenges healthcare leaders face because of the call for a national change in modalities of pain management. Regulatory bodies, specifically, are executing control to confront the opioid epidemic head on, making…
A patient is lying on an apparently clean bed or stretcher when blood from a previous patient oozes out of the surface. Clearly, you don’t want to put your patients through that experience. But is your facility doing enough to prevent it? For the second consecutive year, ECRI Institute addresses…
Editor's Note Medicare’s Hospital Readmissions Reduction Program (HRRP), which penalizes readmissions for several targeted conditions, has been credited with lowering readmission rates; however, these reductions now appear to be overstated, this study finds. A concurrent change in electronic transaction standards that increased diagnostic coding allowed hospitals to document a larger…
Editor's Note The Food & Drug Administration (FDA) on January 8 identified the recall of Medtronic’s Synergy Cranial Software and Stealth Station S7 Cranial Software as Class I, the most serious. The Software is used with the Stealth Station Surgical Navigation System to provide detailed 3D images of a patient’s…
Editor's Note No significant difference was found between endoscopic and open vein–graft harvesting in the risk of major adverse cardiac events, in this study. This analysis of 1,150 patients in 16 Veterans Affairs cardiac surgery centers found that during a median follow-up of 2.78 years, the primary outcome of a…
Editor's Note The Joint Commission announced on January 9 the publication of a new R3 Report to help organizations better understand the new and revised pain assessment and management standards that will be effective July 1, 2019. The R3 Report, which is for behavioral healthcare organizations, nursing care centers, and…
Editor's Note Implementation of AORN’s 2015 guidelines for OR attire, which also were adopted by the Centers for Medicare and Medicaid Services, has not decreased surgical site infections (SSIs) and has increased healthcare costs, this study finds. For the study, data were collected on general, cardiac, neuro-, orthopaedic, and gynecologic…
Editor's Note The Food and Drug Administration (FDA) on January 7 issued a statement from Commissioner Scott Gottlieb, MD, on the agency’s new actions under the Digital Health Pre-Certification (Pre-Cert) Pilot Program to promote a more efficient framework for the review of safe and effective digital health innovations. Because digital…
Editor's Note Reoperations after bariatric surgery occurred mainly within the first 10 years, and revisional surgeries (ie, conversions, corrections, and reversals) were more common after banding and vertical banded gastroplasty than gastric bypass, this Swedish study finds. In this analysis of 2,010 patients with 26 years of follow-up, first-time revisional…
Editor's Note The Joint Commission announced on December 19 that, effective July 1, 2020, it will begin publicly reporting hospitals with consistently high C-section rates on"Quality Check," using hospital data reported during CY 2018 and 2019. The Joint Commission began requiring accredited hospitals to collect and submit data on the…