Editor's Note Public reporting may discourage physicians from offering lifesaving treatment to patients who are at the greatest risk for mortality and poor outcomes, this study finds. Of 45,000 cardiac patients analyzed, the researchers found that physicians were 28% more likely to perform percutaneous coronary interventions (PCI) on patients who…

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Editor's Note Surgeon buy-in and surgical teamwork were crucial in prompting case-related conversations but not in completing surgical safety checklists, this study finds. Of 207 procedures observed by 10 South Carolina hospitals, few teams completed most or all surgical safety checklist items. All measures of teamwork and surgeon buy-in related…

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Editor's Note The Food and Drug Administration (FDA) on July 26 issued a draft Unique Device Identification (UDI) guideline that requires most medical device labels and packages to bear a UDI in easily readable plain-text and automatic identification and data capture technology forms. UDIs must be issued under a system…

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Editor's Note Surgical site infections (SSIs) after pediatric outpatient surgery occur at an appreciable rate and convey morbidity, this study finds. Of more than 15,000 pediatric outpatient surgical cases analyzed, the SSI rate was 2.9 per 1,000 procedures. Otolaryngology procedures had significantly lower SSI rates, compared with endocrine, integumentary, male…

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Editor's Note Despite “superbug” outbreaks and alerts issued in Europe, Japanese device manufacturer Olympus Corp told US executives in early 2013 not to issue a broad warning to American hospitals about potentially deadly infections from tainted duodenoscopes, the July 24 Los Angeles Times reports. At the time, Olympus was aware…

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Editor's Note These guidelines were developed to provide a more efficient and cost-effective preoperative workup of patients with diagnosed or suspected obstructive sleep apnea (OSA). They examine the existing evidence-base for preoperative screening and preparation of patients with OSA, as well as the perioperative use of CPAP in patients with…

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Editor's Note Starting blood thinners within 72 hours of hospital arrival significantly lowers the risk of venous thromboembolism (VTE) in traumatic brain injury patients and does not increase risk of intracranial hemorrhage, this study finds. A total of 2,468 patients were divided into two groups: early prophylaxis (started within 72…

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Editor's Note Children who have surgery before primary school age are at increased risk of early developmental vulnerability, but the difference between exposed and unexposed children is small, finds this study. The analysis included 28,366 children (age 5-6 years) who had surgery and 55,910 children who did not have surgery…

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Editor's Note The Food and Drug Administration (FDA) on July 22 categorized the recall of Stryker Sustainability Solutions' (Tempe, Arizona) Angiodynamics Soft Vu Omni Flush Angiographic Catheters as Class I, the most serious. The recall was issued because of reports of separation of the catheter tip from the main body.…

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Editor's Note Surgeons who were less likely to follow national guidelines for disclosure of adverse events to patients were more likely to be negatively affected by the events, this study finds. A survey of 67 surgeons at Veterans Affairs medical centers found that most used five of eight recommended disclosure…

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