Editor's Note A new model consisting of four risk factors can help surgeons predict the risk of complications after surgery for cervical spondylotic myelopathy (CSM), this multi-center study finds. Surgical CSM patients have a higher risk of perioperative complications if they have a greater number of comorbidities, coexisting diabetes mellitus,…

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Editor's Note Preoperative cognitive screening is feasible in most older elective surgical patients, and results show a substantial prevalence of probable cognitive impairment in this population, this study finds. Because preexisting cognitive impairment is emerging as a predictor of poor postoperative outcomes in seniors, researchers examined whether preoperative cognitive screening…

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Editor's Note A significant association was found between the presence of viral RNA and the mobile phones of healthcare workers in this study from France. Virus RNA was detected on 42 of 109 (38.5%) mobile phones tested: rotavirus was found on 39, respiratory syncytial virus on 3, and metapneumovirus on…

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Editor's Note Significant variation exists in mortality across hospitals for colon cancer surgery, this study finds. The analysis included 3,025 patients who had colon surgery at 19 low-mortality (1,006) and 30 high-mortality (2,019) hospitals. Researchers found a wide difference in mortality between high-mortality and low-mortality hospitals (9.3% vs 2.4%). Compared with…

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Editor's Note The US Preventive Services Task Force (USPSTF) has updated the 2008 recommendations for colorectal cancer screening. The USPSTF recommends screening for colorectal cancer starting at age 50 and continuing until age 75 (A recommendation). The decision to screen adults 76 to 85 years should be an individual one,…

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Editor's Note In this modeling study of previously unscreened 40-years olds undergoing colorectal cancer screening, the following screening strategies from ages 50 to 75 years were estimated to provide similar life years gained and a comparable balance of benefit and screening burden: colonoscopy every 10 years annual fecal immunochemical testing…

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Editor's Note Compared with type of procedure, differences between surgeons account for a small part of OR time variability, and the effect of differences between anesthesiologists is negligible, this study finds. Differences between surgeons accounted for 2.9% of variability in OR time, and differences between anesthesiologists accounted for 0.1%.  …

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Editor's Note Implementation of a forced-completion electronically mediated time out to minimize the rate of wrong surgery is feasible, but its effect on wrong surgery is unclear, finds this study. Researchers created an electronic system using intraoperative electronic documentation to present a time-out checklist on large in-room displays. Time out…

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After a 10-year journey, Cassendra Munro’s Pressure Ulcer Risk Assessment Scale for Perioperative Patients (Munro Scale) is available for use in the perioperative setting and has been added to the AORN Prevention of Pressure Ulcers Tool Kit. “It is the most comprehensive risk assessment tool available for use by the…

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Orthopedic services are evolving. Total joint patients are younger and healthier, the technology has improved, and procedures are moving to the ambulatory setting. The desire for same-day discharge has raised the bar for provider performance and increased competition among facilities that are adding total joints to their service lines. Younger…

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