Editor's Note The Massachusetts ballot Question 1 that would have set strict limits on the number of hospital patients a nurse could care for at one time went down in defeat on November 6, the November 7 Boston Globe reports. Hospitals spent nearly $25 million to defeat the measure, more…

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Editor's Note Survey data from thousands of nurses and patients shows that patient safety remains a serious concern and that failure to improve hospital work environments may be hampering progress, finds this study by Linda Aiken, PhD, RN, and colleagues at the University of Pennsylvania School of Nursing. Of 53,644…

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Editor's Note The Food & Drug Administration on November 5 released the guidance, “Unique Device Identification: Policy Regarding Compliance dates for Class I and Unclassified devices and Certain Devices Requiring Direct Marking,” which takes effect immediately. The new guidance includes updated Unique Device Identification (UDI) direct mark requirements and supersedes…

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Editor's Note Hospitals with high volumes of surgical aortic valve replacements (SAVRs) are more likely to be fast adopters of transcatheter aortic valve replacement procedures (TAVRs), and accumulating SAVR and TAVR caseloads is associated with better survival after TAVR, this study finds. Using Medicare data on 60,538 TAVR procedures performed…

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Editor's Note The Food & Drug Administration on November 2 identified the recall by Maquet Datascope Corp/Getinge Group’s Cardiosave Hybrid and Cardiosave Rescue Intra-aortic Balloon Pumps (IABPs) as Class I, the most serious. The recall was initiated because of the potential for the autofill process to malfunction or fail during…

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Editor's Note Becoming more sensitive to pain (ie, pain sensitization) is an important risk factor for developing persistent knee pain in osteoarthritis, this study finds. Researchers followed 852 patients over 2 years who had or were at risk of knee osteoarthritis but were free of persistent pain at the beginning…

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Editor's Note The Centers for Disease Control and infection (CDC) on October 31 reported that the risk of hospital patients having healthcare-associated infections was 16% lower in 2015 than in 2011, largely because of declines in surgical site and urinary tract infections. The percentage of patients having surgical site and…

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Editor's Note In this study, minimally invasive radical hysterectomy was associated with worse overall survival and higher recurrence rates than open abdominal radical hysterectomy for women with early-stage IA or IB cervical cancer. Of 631 patients analyzed: Minimally invasive surgery was associated with a three-fold increase in disease progression. The…

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Editor's Note The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) on October 31 recognized 83 hospitals for achieving “Meritorious” outcomes for surgical patient care in 2017; 568 hospitals were eligible. ACS NSQIP-participating hospitals are required to track outcomes of inpatient and outpatient surgical outcomes and analyze…

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Editor's Note In this study, researchers developed an algorithm model that accurately identified surgical site infections (SSIs) using independent variables from electronic health record data and outcomes from the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP). Researchers fit 3 models to data from patients having surgery at the…

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