Editor's Note The Joint Commission and National Quality Forum (NQF) on March 27 named the recipients of the 2018 John M. Eisenberg Patient Safety and Quality Awards. The Awards recognize innovative approaches to improve patient safety and quality of care. The winners are: Brent C. James, MD, MStat, clinical professor,…
Editor's Note Better work environments are associated with lower odds of negative outcomes ranging from job dissatisfaction to patient mortality, finds this meta-analysis from the University of Pennsylvania School of Nursing. This analysis of data from 2,677 hospitals, 141 nursing units, 165,024 nurses, and 1,368,420 patients in 22 countries found…
Editor's Note Minimally invasive embolization can be used to effectively treat uterine fibroids with fewer postoperative complications and a lower need for additional treatments than myomectomy, finds this study presented March 25 at the Society of Interventional Radiology’s 2019 Annual Scientific Meeting in Austin, Texas. Of 950 patients analyzed, half…
Editor's Note The Centers for Disease Control and Prevention on March 19 released its current progress report on healthcare-associated infections, which includes state and national level statistics for 2017. Among the findings for acute care hospitals: Clostridium difficile infections declined by 13%. Central line-associated bloodstream infections fell by 9%. Methicillin-resistant…
Editor's Note Hospitals should consider adopting a care bundle approach to improve outcomes for emergency laparotomy patients, this study finds. In this analysis of 14,809 patients in 28 hospitals in the UK, reduction in unadjusted mortality (from 9.8% to 8.3%) and length of stay (from 20.1 days to 18.9 days)…
Editor's Note The Joint Commission on March 20 announced that time is running out for organizations to submit applications for the 2019 Pioneers in Quality Proven Practices Collection. Applications must be submitted online by April 5. Among topics of interest: Demonstrating improvements in clinical performance or outcomes using electronic clinical…
Editor's Note This study comparing transcatheter aortic valve replacement (TAVR) with standard open-heart surgery found no difference in stroke or death from any cause at 2 years follow-up. The findings were presented March 17 at the American College of Cardiology’s Annual Scientific Session in New Orleans. A total of 1,468…
Editor's Note There were no increased risks of complications or readmissions after total hip replacements (THRs) and total knee replacements (TKRs) performed in a community-based ambulatory surgery center (ASC), finds this study reported in a Poster Session March 14 at the American Academy of Orthopaedic Surgeons in Las Vegas. A…
Editor's Note Removal of multiple herniated or degenerative discs in the neck, known as anterior cervical discectomy and fusion (ACDF), can be safely performed in an outpatient setting, finds this study presented March 13 at the American Academy of Orthopaedic Surgeons in Las Vegas. Of 103 patients included in the…
Editor's Note A 12-month targeted initiative to discharge surgical patients earlier was associated with a 50% increase in patients being discharged by noon in this study. The initiative, which included preoperative and inpatient components: increased discharge by noon rates from 14.3% to 21.5% decreased length of stay (LOS) from 2.17…