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Apps helping patients before, after surgery

Editor's Note Chicacgo-area hospitals are using apps to help patients prepare for and recover from surgery and communicate their symptoms, the November 30 Chicago Tribune reports. Amita Health is now using the TapCloud app with good results−of 309 orthopedic patients who have used the app, none have had to be…

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By: Judy Mathias
December 1, 2016
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Joint Commission announces Medicare-deemed ASC survey changes

Editor's Note The Joint Commission on November 30 announced that to better align with Medicare surveyor guidelines, ambulatory surgery centers (ASCs) electing to use the Medicare-deemed option may receive adjustment to the length of time for the survey and number of surveyors. The Life Safety Code component of the survey…

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By: Judy Mathias
December 1, 2016
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Effectiveness of SAS in predicting emergency surgery outcomes

Editor's Note The Surgical Apgar Score (SAS) was found to be significantly predictive but weakly discriminative for major complications and death after emergency high-risk abdominal surgery in this study. The risk of major complications, death, and ICU admission increased significantly with decreasing SAS (P < .001). The score’s c-statistics were…

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By: Judy Mathias
November 29, 2016
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Factors associated with postop readmission to nonindex hospital

Editor's Note Patients who were readmitted to a nonindex hospital after having emergency general surgery were significantly more likely to have had their index surgery at a large, teaching, safety-net hospital, this study from Brigham and Women’s Hospital, Boston, finds. Readmission to a nonindex hospital was independently associated with mortality…

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By: Judy Mathias
November 17, 2016
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Same-day discharge for appendectomy patients

Editor's Note Patients who have a laparoscopic appendectomy can go home the same day of surgery with similar outcomes to patients who spent a night in the hospital, this study finds. In this analysis of 12,703 patients, those who were discharged the same day of surgery had an overall readmission…

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By: Judy Mathias
November 16, 2016
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New RBC treatment may reduce transfusion side effects

Editor's Note Pretreating red blood cells (RBCs) with nitric oxide may reduce the risk of pulmonary hypertension, a dangerous side effect of transfusions, finds this study. The Food and Drug Administration allows transfusion of RBCs that have been stored for 42 days. However, recent studies suggest that transfusion of RBCs…

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By: Judy Mathias
November 15, 2016
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Use of 3D printing increasing in radiology

Editor's Note Though the use of 3D printing is not new in radiology, its adoption has increased as the technology has matured, the November 9 Health Data Management reports. The value of the printer is the ability to create a model of a body part before a surgical procedure−to hold…

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By: Judy Mathias
November 14, 2016
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QI program for bariatric surgery reduces readmissions

Editor's Note The first national quality improvement (QI) program for bariatric surgery reduced readmissions by more than 30% for some hospitals, finds this study presented November 2 at ObesityWeek 2016, the annual conference of the American Society for Metabolic & Bariatric Surgery (ASMBS). The average hospital saw 30-day readmissions drop…

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By: Judy Mathias
November 3, 2016
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CMS releases final rule on OPPS/ASC rates

Editor's Note The Centers for Medicare & Medicaid Services (CMS) on November 1 released a final rule that revises the hospital outpatient prospective payment system (OPPS) and ambulatory surgical center (ASC) payment system for CY 2017. According to the rule, hospital off-campus facilities will no longer be paid the same…

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By: Judy Mathias
November 2, 2016
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Leapfrog awards 844 hospitals an A grade for safety

Editor's Note The Leapfrog Group on October 31 released it’s biannual hospital safety report card. Of 2,812 facilities graded, 844 received an A grade, 658 received a B, 954 received a C, 157 received a D, and 20 received an F. According to Leapfrog, the measures used by Leapfrog, Medicare,…

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By: Judy Mathias
November 2, 2016
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