Virtual physical therapy rehab vs traditional care after TKA
Editor's Note A virtual system for in-home physical therapy (PT) provided similar patient outcomes after total knee arthroplasty (TKA), with lower costs than traditional in-person PT, finds this study. A total of 306 TKA patients were randomly assigned to have traditional PT, either at home or at clinic visits, or…
FDA clears Aidoc’s AI system for stroke detection
Editor's Note The Food & Drug Administration has granted 510(k) clearance to Aidoc (Tel Aviv) for its artificial intelligence (AI)-based system for large-vessel occlusion detection−ischaemic strokes that result from a blockage in one of the major arteries of the brain, the January 14 Verdict Medical Devices reports. The system’s AI…
Changes in use of bariatric surgery from 1993 to 2016
Editor's Note The safety of bariatric surgery has improved since 1993, and there has been a growth in the number of bariatric procedures performed, this study finds. However, utilization has only marginally increased. Of an estimated 1,903,273 patients who had bariatric surgery between 1993 and 2016, the mean age was…
Royal Philips issues urgent safety alert for fluoroscopy system
Editor's Note Royal Philips has issued an urgent field safety notice for its CombiDiagnost R90 GCF fluoroscopy system, the January 10 MassDevice reports. When the tilting feature is used, the device could be locked in a “Table Up/Down” state, an issue that could result in the entry of contrast agent…
Reinvent and reap the rewards of improved handoffs--Part 2
An effective handoff helps ensure care transitions are safe and efficient, but achieving the ideal handoff can be challenging. Part 1 of this two-part series provided an overview of the role of handoffs in the perioperative setting (OR Manager, January 2020, 22-23, 25). This article offers best practices for successful…
Develop standard work for successful ERAS implementation
At Virginia Commonwealth University (VCU) Health System in Richmond, implementation of Enhanced Recovery After Surgery (ERAS) incorporates principles of Lean thinking, a management methodology that emphasizes “…maximize[ing] customer value while minimizing waste. Simply, lean means creating more value for customers with fewer resources,” according to the Lean Enterprise Institute.1 Several…
Can your hospital survive the growing dominance of ASCs?
Of the approximately 57 million surgical procedures performed annually in the US, it is estimated that hospital inpatient procedures (overnight admissions) account for less than 20% of cases. Many procedures once performed in hospital outpatient surgery departments (HOPDs) have moved to ambulatory surgery centers (ASCs) over the past 15 years,…
FCOTS increase through smarter scheduling and surgeon accountability
Starting the first cases of the day on time is key for maintaining the OR schedule. A delay in first case on-time starts (FCOTS) can lead to less OR utilization, greater facility costs, and dissatisfaction among physicians, OR staff, and patients. It’s a problem in many surgical suites, but when…
Study supports value of nurses with specialty certifications
Editor's Note In this study, specialty certification was associated with greater professional identity in ICU nurses and higher perceptions of knowledge of and value in evidence-based practices, whereas education level was not. Of 268 respondents from six hospitals and 12 adult ICUs in an integrated health system, 71% had a…
Relationship between patient falls and levels of nursing education, certification
Editor's Note Higher levels of nursing education and more certified nurses improved the number of patient falls in this study. Using data from the National Database of Nursing Quality Indicators from 2010 to 2016 from medical centers in Central and Southern Illinois, researchers found that with every 1-unit increase in…
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