Editor's Note Improving processes for ordering, transporting, and storing blood at Vanderbilt University Medical Center, Nashville, Tennessee, resulted in $2 million in savings and a 30% reduction in blood utilization in a study presented as a poster presentation at the 2016 American College of Surgeons National Surgical Quality Improvement Program…

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Editor's Note A surgical comanagement hospitalist program reduced complications, length of stay, 30-day readmissions, number of consultants, and cost of care in this study. There was no significant changed in patient satisfaction and the average savings was $2,642 to $4,303 per patient. This retrospective study by researchers from Stanford University…

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Editor's Note The Centers for Medicare & Medicaid Services (CMS) and Food and Drug Administration (FDA) are recommending using unique device identifiers (UDIs) in universal health insurance claims forms to improve value-based reimbursement for medical devices and postmarket surveillance, the July 14 Modern Healthcare reports. Proponents say UDIs could help…

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Editor's Note Telehealth postoperative follow-up may be feasible for patients having select abdominal, neck, and skin/soft tissue procedures with uncomplicated courses, duration of stay less than 4 days, and no interval contact with the operative team, finds this study. The study included 251 veterans who had general surgery. A total…

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Editor's Note Physicians are trying to adapt privacy concerns and requirements to meet patient requests that electronic health record (EHR) data be sent to their mobile apps, including fitness trackers, according to a report in the July 7 Healthcare IT News. Meaningful use and the Medicare Access and CHIP Reauthorization…

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Editor's Note Frailty has a significant impact on postoperative outcomes that varies with procedure, this study finds. Using data on 232,352 patients in the American College of Surgeons National Surgical Quality Improvement Program who had elective, high-risk surgical procedures, multivariate analysis found that frailty was associated with complications, prolonged duration…

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Editor's Note Patients who have bariatric surgery at nonaccredited bariatric surgical centers are 1.4 times likelier to have serious complications and more than twice as likely to die after the procedure compared to those who have surgery in accredited centers, this study finds. In this review of more than 1.5…

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Editor's Note In the majority of patients with large or difficult to remove colorectal polyps, the incidence of cancer is much lower than previously thought, suggesting advanced endoscopic treatments may be a viable option to traditional colon resection, this study finds. Of 439 patients who had a colectomy at the…

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Editor's Note Postoperative ischemic optic neuropathy (ION) in spinal fusion patients significantly decreased from 1998 to 2012 by almost 3-fold, this study finds. Age over 50, male gender, blood transfusion during procedure, and obesity significantly increased the risk of ION. The authors attribute the decline in risk to the increasing…

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Editor's Note In this study, a preassembled toolkit that facilitated the aseptic collection of samples for culturing detected viable microbes on fully reprocessed endoscopes. Biopsy ports and suction/biopsy channels of 5 gastroscopes, 5 colonoscopes, and 5 bronchoscopes were aseptically sampled with the toolkit after the scopes were fully processed. Bacteria…

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