Establishing and leveraging data analytics for ERAS
Virginia Commonwealth University Health System (VCU Health) in Richmond is a Magnet facility, and as such we continually examine innovative ideas to improve the quality, safety, and care of our patients. Evidence has linked Enhanced Recovery After Surgery (ERAS) with better outcomes, and ERAS has become a focal point at…
Best practices back proactive antimicrobial stewardship in ASCs
Hospitals have long dominated the realms of infection control and antibiotic overuse. Ambulatory surgery centers (ASCs), which typically release patients the same day of a procedure, use antibiotics less frequently than other facilities, and most do not have an antimicrobial stewardship program. However, some ASC leaders and organizations are encouraging…
ACR: CT should not be used as first-line diagnostic tool for COVID-19
Editor's Note The American College of Radiology (ACR) on March 11 issued a recommendation that CT scans not be used as a first-line screening test to diagnose COVID-19, the March 11 AuntMinnie.com reports. Though early reports from China indicated that CT could detect COVID-19, even when DNA tests were negative,…
Study: Incubation period of COVID-19 approximately 5 days
Editor's Note This study led by Johns Hopkins researchers provides additional evidence of a median incubation period of approximately 5.1 days for the novel coronavirus disease 2019 (COVID-19). Of 181 confirmed cases of COVID-19 (from China and other countries) with identifiable exposure and symptom onset windows in the analysis, the…
Outcomes, costs of Medicare patients having surgery at teaching vs nonteaching hospitals
Editor's Note This study of Medicare patients at 340 teaching hospitals and matched patient controls at 2,444 nonteaching hospitals found that as risk of mortality increased, the mortality benefit of treatment at teaching hospitals also increased, though with marginally higher costs. Included in the analysis were 86,751 pairs of general,…
Surgeons reduce opioid prescriptions using new multipronged strategy
Editor's Note A system-wide, multipronged pain management and opioid reduction program significantly reduced postoperative opioid discharge prescriptions written for more than 5 days, this study finds. Surgeon education, monitoring, and incentives lead to a shift from longer-term to shorter-term prescriptions for patients after surgery, reducing postoperative opioid prescriptions of more…
FDA, CDC increase access to respirators during COVID-19 outbreak
Editor's Note The Food & Drug Administration (FDA) on March 2 announced that it had joined with the Centers for Disease Control and Prevention (CDC) to make more respirators, including certain N95s, available to healthcare personnel during the coronavirus (COVID-19) outbreak. Currently, the majority of respirators are used in industrial…
Use of frailty screening tool to predict poor postop outcomes
Editor's Note The Risk Analysis Index (RAI) frailty screening tool, which was previously validated in the VA health system, can be efficiently implemented in multispecialty, multihospital healthcare systems to predict adverse postoperative outcomes, including mortality, readmission, and extended hospital stays, this study finds. From July 1 to December 31, 2016,…
Improved work environments linked to lower nurse burnout, higher patient satisfaction
Editor's Note This study from Linda Aiken, PhD, and colleagues at the University of Pennsylvania, Philadelphia, found that high levels of nurse burnout are associated with lower patient satisfaction. In this analysis of nurse burnout and patient satisfaction in 463 hospitals in four states, 50% of the hospitals where burnout…
Preop cancer-related malnutrition depends on cancer type
Editor's Note Common definitions of malnutrition do not apply to all cancers, and the best approach for surgeons to identify malnourished cancer patients preoperatively is specifically related to the type of cancer the patient has, this study finds. Of 205,840 major cancer surgical procedures for six different cancers analyzed: 16%…
Free Daily News
- Market volatility threatens hospitals’ liquidity as tariff-driven costs rise
- Study: CT scan radiation could drive 5% of future cancer cases
- New studies, surgical feats advance organ transplant medicine
- Commentary: Cyberattacks threaten financial survival of surgical practices
- Tariffs strain supply chains, split medical manufacturing community
- Study: Systemic gender bias embedded in surgical practice
- Literature review: Endoscope disinfection failures highlight need for stronger sterilization practices
- Study: GLP-1 drugs heighten risk of gastric residue but not perioperative pulmonary aspiration
- OAS CAHPS compliance soars to 96% among ASCs, vendor satisfaction also improves
- Knee surgical robot market set to surge, projected to reach $5.9B by 2032