Procedural sedation analgesia considerations for ASC leaders
The promise of quicker recovery and fewer complications from sedation, anesthesia, and pain management have drawn clinicians and patients alike to procedures performed in ambulatory surgery centers (ASCs) and other outpatient settings. However, sedation, anesthesia, and analgesia add their own risks to those of the procedure itself. Understanding the latest…
Study data supports less radical cervical cancer surgery alternative
Editor's Note New research supports fertility preservation with cone biopsy as a viable, less radical option for to surgery in patients with early, low-risk cervical cancer, according to a report published March 18 in MedPage Today. Presented at the Society of Gynecologic Oncology annual meeting, the findings from the Gynecologic…
Study: Postoperative delirium less likely with ephedrine than phenylephrine
Editor's Note Using phenylephrine as an intraoperative vasopressor could lead to higher risk of postoperative delirium compared to ephedrine, according to findings published in the April issue of Anesthesiology. Posted online last September, these findings confirm researchers’ original hypothesis. “The treatment of intraoperative hypotension with phenylephrine may impair cerebral perfusion…
Medicare households have double the healthcare spending burden
Editor's Note The healthcare spending burden of Medicare households was double that of non-Medicare households in 2022, according to an analysis published by KFF (Kaiser Family Foundation) on March 14. Using data from the Consumer Expenditure Survey, KFF found that average health-related expenses made up 13.6% of Medicare households’ total…
Survey reveals broad impact of Change Healthcare cyberattack
Editor's Note The recent cyberattack on Change Healthcare created a financial impact for the lion’s share of US hospitals surveyed recently by the American Hospital Association, with more than half reporting “significant or serious” impact and three of every four also reporting direct impacts on patient care. These data reflect…
Scrub color affects how patients perceive clinicians
Editor's Note: A recent study shows the color of a clinicians’ scrubs is a factor in how patients view clinicians and, by extension, the clinician-patient relationship as well as clinical outcomes. The findings were published January 11 in Jama Surgery. Although previous research has established connections between physician’s attire and…
CMS reforms prior authorization to improve care, streamline physician process
Editor's Note The Centers for Medicare & Medicaid Services (CMS) has implemented a final rule reforming the prior authorization process, with the aim to reduce delays in patient care and boost electronic efficiency for physicians, the American Medical Association (AMA) News Wire reported January 23. The Department of Health and…
Study: VR technology helps reduce patient anxiety prior to surgery
Editor's Note In this original investigation published by JAMA Network on October 31, researchers have found that using virtual reality (VR) technology to give patients familiarity with the surgical setting and surgical tools prior to a procedure can help to reduce their anxiety. The study included 74 patients, ages 18…
Comfort with SDOH data exchange depends on quality of care, treatment
Editor's Note Most patients in the US (60%) are comfortable with healthcare organizations sharing their social determinants of health (SDOH) information for treatment purposes, EHR Intelligence October 26 reports. However, the article notes, four in 10 Americans still report hesitation around this data exchange. According to the Health Information National…
Limiting opioid medication did not negatively impact patients post-surgery
Editor's Note A 5-day limit on opioid pain medication prescriptions in Michigan did not negatively impact patient-reported pain levels or satisfaction, JAMA Network October 13 reports. The study, titled "Changes in surgical opioid prescribing and patient-reported outcomes after implementation of an insurer opioid prescribing limit," was published by JAMA Health…
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