Tag: Performance Improvement

Study: Practice of overlapping colorectal surgical procedures is safe

Editor's Note In this study, overlapping surgery in a tertiary care colorectal surgery practice was found to be safe and not linked to adverse patient outcomes. Of 1,270 patients having inpatient colorectal surgery at the Mayo Clinic, between 2012 and 2015, overlapping surgery occurred in 576 patients. Overall adverse events…

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By: Judy Mathias
July 15, 2019
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Disadvantaged neighborhoods linked to higher readmission rates

Editor's Note Residing in a disadvantaged neighborhood in Maryland and being discharged from a hospital serving a large proportion of disadvantaged neighborhoods were independently associated with increased risk of readmission in this study. 2015 data from Maryland hospitals showed a 14.1% 30-day readmission rate for patients living in neighborhoods in…

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By: Judy Mathias
July 11, 2019
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CMS penalty program not linked to hospital safety improvements

Editor's Note The Centers for Medicare and Medicaid Services (CMS) hospital penalization in the Hospital Acquired Condition Reduction Program (HACRP) was not associated with significant changes in rates of hospital acquired conditions (HACs), 30-day readmissions, or 30-day mortality and does not appear to drive meaningful clinical improvements, this study finds.…

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By: Judy Mathias
July 11, 2019
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HHS forms group to streamline quality programs

Editor's Note The Department of Health and Human Services (HHS) announced on July 9 that it has formed a summit of key industry stakeholders and government leaders to provide insight as the Trump administration seeks to streamline, improve, and align measures used across federal healthcare quality programs. The Quality Summit,…

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By: Judy Mathias
July 11, 2019
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Applications, limitations of AI for fracture detection, classification

Editor's Note Preliminary experience in the automated detection and classification of fractures using artificial intelligence (AI) shows promise, and AI may enhance processing and communicating probabilistic tasks in orthopedic surgery, this study finds. For fracture detection, researchers compared the human findings in 10 studies with AI findings. In two studies,…

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By: Judy Mathias
July 9, 2019
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Preop opioid, benzodiazepine use linked to postop mortality, opioid consumption

Editor's Note Use of opioids and benzodiazepines 6 months before surgery was associated with increased short- and long-term mortality and an increased rate of persistent postoperative opioid consumption, this study finds. In this analysis of 41,170 noncardiac surgical cases in 27,787 patients in Iceland, preoperative prescriptions for opioids only were…

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By: Judy Mathias
June 27, 2019
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Outpatient surgery occupies big stage at OR Manager Conference

Editor's Note Ambulatory surgery center (ASC) administrators and managers trying to keep pace with the rapid growth in their facilities will not want to miss the robust outpatient surgery education offered at the 2019 OR Manager Conference. On Tuesday, September 17, Beverly Kirchner, BSN, RN, CNOR, CASC, chief compliance officer…

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By: Elizabeth Wood
June 27, 2019
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Study: EHR data limited in capture of patient outcomes, risk factors needed for risk adjustment

Editor's Note Retooling paper-based measures to electronic format for reporting performance measures can help reduce hospitals’ reporting burden. However, in this study by Joint Commission and State University of New York researchers, a simplified risk model using electronic health record (EHR) elements could not capture most risk factors in the…

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By: Judy Mathias
June 26, 2019
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Study: Value found in physician-patient outcome assessment process

Editor's Note A new scoring system reveals a strong agreement between patient-reported and physician-reported outcomes after surgery, the Mayo Clinic reports. The study enrolled 100 patients who had elbow or shoulder surgery. The average time between surgery and follow-up was 31 months. In the categorical ratings, patients and physicians agreed…

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By: Judy Mathias
June 24, 2019
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CMS selects ECRI Institute for NQIIC designation

Editor's Note The ECRI Institute on June 20 announced that the Centers for Medicare & Medicaid Services (CMS) had awarded it with the Network of Quality Improvement and Innovation Contractors (NQIIC) designation. With this designation and partnering with other quality improvement contractors under the new CMS Indefinite Delivery/Indefinite Quanity (IDIQ)…

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By: Judy Mathias
June 24, 2019
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