Editor's Note In this study of patients with displaced femoral neck fractures, the incidence of secondary procedures did not differ significantly between patients who had total hip arthroplasty (THA) and those who had hemiarthroplasty. THA was associated with modestly better function over 2 years but with a slightly higher incidence…
Editor's Note The Joint Commission announced October 2 that it will be retiring the Leading Practice Library December 31, 2019. These customer-submitted resources that were developed in 2008 to assist organizations in complying with complex standards have become outdated. Newer and higher quality resources are available on the Joint Commission…
Editor's Note The Centers for Medicare & Medicaid Services (CMS) on September 26 released a final rule that revises discharge planning requirements for hospitals, the September 26 Becker’s Clinical Leadership & Infection Control reports. Among the requirements: Hospitals must prioritize patients’ care goals and treatment preferences during discharge planning. Hospitals…
Editor's Note A computer model, which for the first time accurately predicted two of the most challenging side effects of radiation therapy for head and neck cancer patients, was presented September 26 at the Annual Meeting of the American Society for Radiation Oncology in Chicago. Researchers from the University of…
Editor's Note In this study, a machine learning algorithm resulted in the most accurate estimation of operative case-time duration. Researcher developed models to predict case-time duration using linear regression and supervised machine learning. Each model included an all-inclusive model, service-specific models, and surgeon-specific models. The data set used included 46,986…
Editor's Note When deep learning algorithms were compared with health-care professionals in classifying diseases using medical imaging, diagnostic performance was equivalent between the two. In this meta-analysis of 14 studies, researchers found that deep learning systems correctly detected a disease state 87% of the time, compared with 86.4% for healthcare…
Editor's Note The Joint Commission announced on September 18 that the deadline for submitting applications for the John M. Eisenberg Patient Safety and Quality Awards is October 1. Started by the Joint Commission and the National Quality Forum (NQF) in 2002, the awards recognize the outstanding work of individuals and…
Enhanced Recovery After Surgery (ERAS®) is a comprehensive, multifaceted, and multidisciplinary approach to the care of the surgical patient. ERAS bundles evidence-based elements to facilitate a faster recovery with fewer complications.1 Spanning the continuum of perioperative care, ERAS elements include: • patient engagement and education • preoperative optimization of nutrition…
Editor's Note Though recent guidelines mandating additional barrier attire for all scrubbed and unscrubbed OR personnel from the Agency for Healthcare Research and Quality (AHRQ) and Joint Commission, which include bouffant caps covering all hair and long-sleeved surgical attire covering all exposed skin, this study finds that this mandate does…
About 2 years ago I was diagnosed with prostate cancer. As I researched the treatment alternatives, I became very concerned about the complications associated with traditional surgical prostatectomy or radiation. Then I learned that I might be eligible for an outpatient procedure: high-intensity focused ultrasound (HIFU). Although HIFU is relatively…