CMS star ratings not linked to surgical outcomes
Editor's Note High Centers for Medicare & Medicaid Services (CMS) Overall Hospital Quality Star Ratings were not associated with improved patient outcomes in advanced laparoscopic abdominal surgery, this study finds. Morbidity at low-star hospitals was higher for colorectal surgery but not for bariatric or hiatal hernia surgery, and no significant…
Joint Commission: Quick Safety on daily safety briefings
Editor's Note The Joint Commission on June 28 posted a Quick Safety on daily safety briefings--a hallmark of high reliability organizations. Safety briefings--also called safety huddles, daily check-ins, or daily safety calls--are used to give keep frontline staff and leadership informed. The briefings can be used to: share issues that…
FDA: Recall of potassium phosphate and succinylcholine chloride by PharMEDium Services
Editor's Note The Food and Drug Administration on June 27 announced the recall by PharMEDium Services of specific lots of potassium phosphate and succinylcholine chloride because of a lack of sterility assurance. The products being recalled were compounded using certain Hospira products, which were recalled on June 15 because microbial…
Study characterizes ED visits after total joint procedures
Editor's Note Emergency department (ED) visits after total joint procedures were numerous and mostly for pain-related diagnoses, and Medicaid patients had almost double the risk of an ED or pain-related ED visit, this study finds. Of 152,783 patients analyzed, 3.42% returned to the inpatient setting and 5.81% visited the ED…
FDA announces new digital health resources
Editor's Note The Food and Drug Administration (FDA) has announced the creation of a new centralized Digital Health Unit in its Center for Devices and Radiological Health, which together with draft guidance on software as a medical device, is designed to support technological innovation and advance digital health, the June…
US News & World Report lists top pediatric hospitals
Editor's Note For the third straight year, Boston Children’s Hospital tops the US News & World Report’s Best Children’s Hospitals Honor Roll. Children’s Hospital of Philadelphia was second, and Cincinnati Children’s Hospital Medical Center was third. US News bases its honor roll on how hospitals rank in each of 10…
Alcohol fixation of bacteria to instruments increases cleaning difficulty
Editor's Note Treating contaminated surgical instruments with alcohol, allowing them to dry, or allowing them to soak in water for extended periods of time increases cleaning difficulty and may contribute to sterilization inefficacy, this study finds. Soaking or spraying instruments with alcohol significantly reduced viable bacterial numbers, but significantly increased…
New combination of tests identify patients with benign pancreatic cysts
Editor's Note The combination of two molecular biology tests is the first to distinguish, with near certainty, pancreatic lesions that mimic early signs of cancer but are completely benign, this study finds. The vascular endothelial growth factor-A test alone singled out benign serious cystic neoplasms with a sensitivity of 100%…
FDA: Fagron Sterile Services recalls three lots of succinylcholine
Editor's Note The Food and Drug Administration (FDA) on June 23 posted the recall by Fagron Sterile Services (Wichita, Kansas) of three lots of succinylcholine chloride 20 mg/mL 5 mL syringes because of microbial growth detected during a simulation of the manufacturing process. This is a secondary recall of products…
Lack of shared mental model in cardiac surgical team members may contribute to errors
Editor's Note Cardiac surgical team members recognize distinct critical time points during cardiac surgery, but a high degree of variability exists between members as to the importance of these times, which suggests an absence of a shared mental model, this study finds. Cardiac team members from three institutions developed a…
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