Tag: Performance Improvement

Are obese patients good candidates for the outpatient setting?

Obesity rates and, consequently, obstructive sleep apnea (OSA) are on the rise in the US, and an increasing number of obese patients are undergoing surgical procedures at ambulatory surgery centers (ASCs). Healthcare providers at such facilities are adding procedures and taking steps to ensure the safety of patients whose body…

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By: Jennifer Lubell
October 21, 2019
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Decreased postop opioid prescribing not linked to patient’s satisfaction with surgeon

Editor's Note This study found that opioid prescribing can be decreased by more than 50% and not adversely affect patients’ satisfaction scores with their surgeons. Of 996 patients surveyed on their satisfaction with their surgeons before (period A) and after (period B) an educational intervention that resulted in decreased opioid…

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By: Judy Mathias
October 17, 2019
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Joint Commission seeking comments on new advanced hip, knee replacement standards

Editor's Note The Joint Commission on October 16 announced that it was seeking comments on proposed standards for the Advanced Total Hip and Total Knee Replacement Certification program for hospitals, critical access hospitals, and ambulatory surgery centers. The new standards were developed to further promote patient safety and quality of…

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By: Judy Mathias
October 17, 2019
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Association between heart failure and postop mortality in ambulatory surgery patients

Editor's Note In this study, heart failure with or without symptoms was associated with an increased risk of postoperative mortality at 90-days and complications at 30-days in ambulatory surgery patients. In this analysis of 355,121 patients having noncardiac ambulatory surgical procedures, 90-day mortality was 2% in patients with heart failure…

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By: Judy Mathias
October 17, 2019
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UC San Diego expands Center for Future of Surgery

Editor's Note The University of California San Diego School of Medicine announced October 14 that it has expanded its Center for the Future of Surgery, one of few facilities in the world that teaches surgery in high-tech simulated ORs. This fall, the 22,000 sq-ft center added a new hybrid OR…

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By: Judy Mathias
October 16, 2019
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Joint Commission: 2020 National Patient Safety Goals now available

Editor's Note The Joint Commission announced on Octobere 9 that the 2020 National Patient Safety Goals (NPSGs) are now available on its website. Included are the revised elements of performance “NPSG.15.01.01: Reduce the risk for suicide” that went into effect earlier this year. The new requirements are designed to improve…

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By: Judy Mathias
October 14, 2019
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Poorer surgical outcomes linked to lower socioeconomic status

Editor's Note This study from researchers at the Cleveland Clinic found a consistent, strong association between geographic indicators for socioeconomic status and important surgical outcomes. Of 1,573,740 hospital discharges analyzed, adjusted odds of inpatient mortality significantly increased as geographic distress increased across all measures of geographic risk. The odds of…

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By: Judy Mathias
October 8, 2019
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PCI vs CABG outcomes for left main coronary disease

Editor's Note In this study of patients with left main coronary disease, there was no significant difference in outcomes at 5 years between treatment with percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG). Researchers randomly assigned 1,905 patients with left main coronary artery disease of low or intermediate…

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By: Judy Mathias
October 7, 2019
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Will the success of AI in healthcare depend on nurses?

Editor's Note Nurses have always played an important role when new health information technology (IT) has been implemented, and the emergence of artificial intelligence (AI) and the changes it can bring to healthcare will be no exception, reports the September 27 HealthcareITNews. Though some nurses may view AI as another…

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By: Judy Mathias
October 7, 2019
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Association between social risk factors and SSIs after colectomy, abdominal hysterectomy

Editor's Note Social risk factors were inconsistently associated with surgical site infection (SSI) rates after colectomy or abdominal hysterectomy in this study. In this analysis of 149,741 patients, Medicaid status (a marker for poverty) and living in a low-income zip code were linked to higher SSI rates after colectomy. For…

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By: Judy Mathias
October 3, 2019
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