Editor's Note Approximately one-third of casualties during the Iraq and Afghanistan wars resulted from nonbattle injuries (NBIs), this study finds. In this analysis of 29,958 casualties (battle injuries and NBIs), NBIs caused 34.1% of total casualties and 11.5% of all deaths. Rates of NBIs were higher among women than men…

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Editor's Note The American College of Surgeons on May 23 announced that a partnership between the Military Health System and civilian trauma institutions is underway to create the first fully integrated military-civilian trauma system. The system will train military surgeons before deployment, help surgeons retain skills while deployed, and bring…

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Editor's Note Contrary to what some studies are suggesting, use of the local anesthetic liposomal bupivacaine as part of a multimodal approach to postoperative pain did not reduce in-hospital opioid use or opioid-related complications after total knee arthroplasty (TKA) in this study. Researchers analyzed data on 88,830 TKAs performed with…

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Editor's Note The ECRI Institute on May 17 announced that Boston Medical Center had won the 2018 Health Devices Achievement Award for its patient-centric mobile pulmonary care app. The ICOUGH Recovery app guides patients through the hospitals postoperative pulmonary care protocol, which focuses on: Incentive spirometry Coughing and deep breathing…

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Among the many variables that influence on-time starts of surgical cases are the arrival times of patients and staff, as well as the verifications and documentation required before patients are brought to the OR. Increasing on-time starts was a key initiative at Fox Chase Cancer Center. By exploring the influences…

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Editor's Note Unplanned admissions of medical-surgical patients to intensive care units (ICUs) dropped after a New Hampshire Medical Center implemented a new early warning score communication bundle, this study finds. The hospital embedded a seven-item modified early-warning score system into the electronic medical record (EMR) for patients in its four…

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Editor's Note One-third of postoperative readmissions are unlikely to reflect problems with surgical quality, this study finds. Readmissions with diagnoses that were considered associated with surgical quality accounted for 25,521 of 39,664 readmissions (64%) at a VA medical center between October 1, 2007 and September 30, 2014. The proportion of…

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The government and insurance companies have imposed increasing penalties on healthcare facilities in recent years for readmissions. And with good reason: High readmission rates greatly increase costs and sometimes signal poor patient safety practices. In 2015, roughly 2 million patients were readmitted, costing Medicare $27 billion, according to the Centers…

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Editor's Note The use of nonopioid analgesics intraoperatively was one of eight factors found to predict postoperative pain in the first 24 hours after spine surgery, finds this study that will be presented Saturday April 21 at the 2018 World Congress on Regional Anesthesia & Pain Medicine in New York…

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Editor's Note Joint Commission president Mark R. Chassin, MD, FACP, says he doesn’t want healthcare organizations to just imagine a day of zero harm, he wants them to achieve it, the Joint Commission announced on April 4. Dr Chassin talked about “Leading the Way to Zero” in an article for…

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