Editor's Note The addition of patient-generated wound photographs to existing data significantly improved diagnostic accuracy of surgical site infections (SSIs) and prevented overtreatment in this study. When photographs were added, overall diagnostic accuracy improved from 67% to 76%, and specificity increased from 77% to 92%, but sensitivity did not significantly…
Editor's Note In an October 13 report, the Government Accountability Office (GAO) called for the Department of Health and Human Services (HHS) to set priorities in its effort to better align healthcare quality measures across payers and programs, and to make them truly meaningful, according to the October 14 FierceHealthcare.…
Editor's Note The Centers for Medicare & Medicaid Services (CMS) on October 14 issued a final rule with comment period for implementing provisions of the new physician payment system required by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), according to the October 14 Modern Healthcare. The rule…
Editor's Note The Food and Drug Administration (FDA) on October 13 updated its Safety Alert on the Stӧckert 3T Heater-Cooler System by LivaNova to provide new information from the Centers for Disease Control and Prevention (CDC) about Mycobacterium chimaera infections associated with the use of the system in US patients…
Editor's Note Denver Health was awarded a nearly $232,000 federal grant to expand its text messaging program, the October 13 Denver Post reports. The system will use the grant to link text messages directly to patients’ electronic health records so physicians can see patients’ texts on their medical charts. Denver…
Editor's Note The AABB has published updated recommendations to assist clinicians in decisions on red blood cell (RBC) transfusion. The original recommendations were released in 2012. The update, titled “Red blood cell transfusion: 2016 clinical practice guideline from the AABB,” includes two main recommendations: Restrictive RBC transfusion thresholds: …
Editor's Note A study presented at the 2016 American Orthopaedic Foot and Ankle Surgeons Annual Meeting found that total ankle replacements performed in ambulatory surgical centers (ASCs) were about $4,000 less than those performed in inpatient facilities, the October Orthopedics Today reports. The 4-year study included 574 total ankle replacements…
Editor's Note At 10 years, prostate cancer mortality was low irrespective of the treatment and with no significant difference among treatments, this study finds. Treatments included active monitoring (1.5 deaths/1,000 person years), radical prostatectomy (0.9 deaths/1,000 person years), and external-beam radiotherapy (0.7 deaths/1,000 person years). Surgery and radiotherapy were associated…
Editor's Note The Joint Commission announced October 12 that it is seeking input on proposed revisions to its National Patient Safety Goals on healthcare associated infections (HAIs) for ambulatory care and office-based surgery and hospitals and critical access hospitals. The proposed revisions address surgical site infections and central line-associated blood…
Editor's Note In older adults with unstable ankle fractures, close contact casting compared with surgery resulted in similar functional outcomes at 6 months, this study finds. The study, which included 620 patients (309 surgery, 311 casting) from 24 hospitals, found that postfracture symptoms, quality of life, pain, ankle motion, and…
