Editor's Note In this study of Michigan hospitals, overall complications in laparoscopic sleeve gastrectomy patients varied widely, and serious complications were infrequent. The analysis included 8,693 patients who underwent laparoscopic sleeve gastrectomy from 2013 to 2014 in 40 hospitals in the Michigan Bariatric Surgery Collaborative. Overall, 5.4% experienced complications, and…

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Editor's Note In this work system analysis, the inclusion of prefilled syringes into medication delivery by anesthesia providers simplified work processes and reduced the number and associated risks of system vulnerabilities. Eight system vulnerabilities were found in the prefilled syringe system versus 21 in the self-filled syringe system. An example…

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Editor's Note Emergency general surgery patients who were managed early in the academic year with an influx of new residents fared equally well, if not better, than patients who were managed later in the year in this study. Compared to patients managed later, early patients had lower risk-adjusted odds of…

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Editor's Note This study was designed to understand nurses’ perceptions of using an electronic health record (EHR) at the point of care. At 1 year after EHR adoption, the nurses said: it did not improve patient care the learning curve was steep they had lower confidence using the EHR than…

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Enhanced recovery after surgery (ERAS) programs are gaining ground with recent data showing that they improve outcomes. The programs consist of multidisciplinary, evidence-based protocols implemented in the perioperative period to provide standardized patient care. Like other changes in healthcare delivery, adopting ERAS programs takes time and effort. Despite positive results…

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Someone who literally owes his life to healthcare workers will share his remarkable experience and inspiration during this year’s annual OR Manager Conference. Marcus Engel, author of The Other End of the Stethoscope and several other books, will be the opening keynote speaker at the conference, which takes place September…

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Editor's Note Large numbers of pediatric patients have tonsillectomies and adenoidectomies (T&As) in ambulatory surgery centers (ASCs) despite higher rates of complications in younger patients and patients with more comorbidities, this study finds. In this retrospective review, researchers from Stanford University, Stanford, California, analyzed 115,214 children having T&As in hospitals,…

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Editor's Note RNs at Kaiser Permanente’s Los Angeles Medical Center began a 7-day strike on March 15, PR Newswire reports. The focus of the strike is on: improving staffing to protect patient care achieving economic gains to retain experienced RNs and increase recruitment of new RNs. The walkout affects 1,200…

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Editor's Note In this study, a new risk-stratification scale identified high-risk patients for readmission within 30 days after total hip replacement with 89.1% accuracy. Nearly 269,000 hip replacement patients from the State Inpatient Database were analyzed, and factors associated with an increased risk of readmission were used to create the…

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Editor's Note Patients who underwent desensitization therapy and received kidney transplants from HLA-incompatible live donors had a substantial survival benefit, compared with patients who did not undergo transplantation or those who waited for transplants from deceased donors, this study finds. Researchers from Johns Hopkins, Baltimore, enrolled 1,025 patients at 22…

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