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Joint Commission seeks comments on new antimicrobial stewardship requirements

Editor's Note The Joint Commission on January 9 announced that it is seeking feedback on its newly proposed requirements for antimicrobial stewardship at Medication Management (MM) standard MM.09.01.03. The requirements apply to ambulatory healthcare organizations and office-based surgery practices. The proposed requirements align with current recommendations from scientific and professional…

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By: Judy Mathias
January 14, 2019
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Funds earmarked to enable nurse-led research

The United States is amid a conversion to a value-based system of healthcare. Although this new delivery model has contributed to the closure of some hospitals and the realignment of others into larger health systems, the primacy of the OR as a source of revenue for hospitals has remained constant.…

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By: James X Stobinski, PhD, RN, CSSM (E), CNOR
January 14, 2019
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Healthcare executives investing more in data analytics, AI

Editor's Note A survey by NewVantage Partners finds that 77% of healthcare executives are increasing investments in big data analytics and artificial intelligence (AI), according to the January 4 HealthIT Analytics. Disruptive forces and industry competitors are the major motivators for the increase. Nearly 80% of data analytics leaders say…

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By: Judy Mathias
January 8, 2019
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Incidence of reoperations after bariatric surgery

Editor's Note Reoperations after bariatric surgery occurred mainly within the first 10 years, and revisional surgeries (ie, conversions, corrections, and reversals) were more common after banding and vertical banded gastroplasty than gastric bypass, this Swedish study finds. In this analysis of 2,010 patients with 26 years of follow-up, first-time revisional…

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By: Judy Mathias
January 7, 2019
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CMS underpaid hospitals by $76.8 billion in 2017

Editor's Note The Centers for Medicare & Medicaid Services (CMS) underpaid hospitals by $76.8 billion in 2017, according to data from the American Hospital Association’s Annual Survey of Hospitals. Medicare underpayments totaled $53.9 billion, and Medicaid underpayments were $22.9 billion. Hospitals also provided $38.4 billion in uncompensated care, the January…

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By: Judy Mathias
January 7, 2019
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December healthcare employment highest in decades

Editor's Note US healthcare added 50,200 jobs in December to a seasonally adjusted 16,213,000, the Bureau of Labor Statistics reported on January 4. That is up 346,000 more employees than a year ago, and the highest since 1990. The overall unemployment rate rose by 0.2% to 3.9%.  

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By: Judy Mathias
January 7, 2019
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Cross-contamination of pierced earring holes, nurses’ fingers a potential source of HAIs

Editor's Note Pierced earring holes can be a source of healthcare associated infections (HAIs) via cross-transmission of bacteria from the holes to nurses’ fingers, this study finds. For this analysis, earlobes and fingers of 200 nurses (128 with pierced ears and 72 unpierced) working at a university hospital in Japan…

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By: Judy Mathias
January 3, 2019
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Effect of routine preop urine screening on postop outcomes

Editor's Note Antimicrobial treatment of asymptomatic organisms identified in preoperative urine cultures was not associated with reductions in the risk for postoperative infections, including urinary tract infections (UTIs) and surgical site infections (SSIs), this study finds. In this analysis of 68,265 patients in 109 Veterans Affairs hospitals who had cardiac,…

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By: Judy Mathias
January 2, 2019
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FDA issues statement on updated rates of duodenoscope contamination

Editor's Note The Food and Drug Administration (FDA) on December 10 issued a statement on an updated safety communication about rates of duodenoscope contamination obtained from preliminary postmarket data. Interim results from sampling studies from device manufacturers−Olympus, Fujifilm, and Pentax− indicate higher-than-expected contamination rates after reprocessing. Up to 3% of…

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By: Judy Mathias
December 11, 2018
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Effect of CJR bundled payment program on care delivery

Editor's Note Participation in the Comprehensive Care for Joint Replacement (CJR) bundled payment program was associated with changes in care delivery and compensation practices, this study finds. This survey of 73 orthopedic surgeons found that those practicing in CJR hospitals were more likely to report their hospitals had implemented programs…

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By: Judy Mathias
December 6, 2018
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