Critical shortage of cardiothoracic surgeons coming
Editor's Note By 2035, cardiothoracic surgeons will be responsible for more than 850,000 surgical patients, a 61% increase from 2010, according to this study presented May 17 at the annual meeting of the American Association for Thoracic Surgery in Baltimore. Cases per surgeon per year in 2010 averaged 135 for…
Can converting to synthetic surgical gloves lower hospital operating room costs?
Type 1 natural rubber latex allergic reactions are avoidable in the OR. Typically, surgical gloves are the last products remaining in the OR that contain natural rubber latex (NRL). Higher-cost, clinically acceptable synthetic latex surgical gloves are readily available. However, OR leaders can encounter significant resistance from hospital administrators when…
Public reporting measures don’t indicate hospital safety
Editor's Note Common measures used to rate hospital safety, such as the Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators and the Centers for Medicare & Medicaid Services (CMS) Hospital-acquired Conditions, do not accurately capture the quality of care provided, this study finds. Only one measure out of…
AHA asks CMS to suspend VBP pain questions
Editor's Note The American Hospital Association (AHA) on April 29 asked the Centers for Medicare & Medicaid Services (CMS) to suspend their pain-related questions in the Value-Based Purchasing (VBP) Program until concerns are addressed that the questions may contribute to the opioid epidemic, AHA News Now reports. The AHA says…
Working night shift linked to heart disease
Editor's Note Female RNs working a rotating night shift for 5 years or more was associated with a statistically significant increased risk of coronary heart disease (CHD) in this study. The analysis included nearly 190,000 RNs involved in the Nurses’ Health Studies (NHS), who were followed over 24 years in…
Motor vehicle driving performance of anesthesia residents after overnight work shifts
Editor's Note After six consecutive night shifts, anesthesia residents experienced significantly impaired control of all driving variables including speed, lane position, throttle, and steering in a driving simulator. They also were more likely to be involved in collisions. In addition, reaction times increased with a significant increase in the number of minor…
Long work hours tied to higher risk of CVD
Editor's Note Working 46 hours per week or more increases the long-term risk of cardiovascular disease (CVD), this study finds. Beginning at 46 hours, increasing work hours were progressively associated with increased risk of CVD (ie, angina, coronary disease, heart failure, heart attack, high blood pressure, or stroke). Compared to…
Safety culture linked to SSI rates
Editor's Note A positive safety and teamwork culture and engaged hospital management were associated with lower surgical site infection (SSI) rates after colon surgery in this study. Researchers, led by Martin Makary, MD, from Johns Hopkins University, Baltimore, measured 12 dimensions of safety culture and colon SSI rates in surgical…
ECRI Institute releases 2016 Top 10 Hospital C-suite Watch List
Editor's Note The ECRI Institute on January 4 released its annual Top 10 list of important technology related issues that hospital and health system leaders need to pay close attention to this year. The list includes: Medical device cybersecurity (eg, hacking into pacemakers) Miniature leadless pacemakers Changing landscape of robotic…
Cardiac complications in noncardiac surgery patients
Editor's Note Cardiac complications are the leading cause of death within 30 days after noncardiac surgery. This article reviews what is known about perioperative cardiac complications (ie, from induction of anesthesia to within 30 days after surgery), preoperative methods of predicting complications, perioperative cardiac interventions, and postoperative monitoring. The researchers…
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