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Inpatient PPS proposed rule drops two-midnight payment cuts

Editor's Note The Centers for Medicare & Medicaid Services (CMS) on April 18 issued its hospital inpatient prospective payment system (PPS) proposed rule for FY 2017 that includes two adjustments to reverse the effects of the 0.2% cut it instituted when implementing the two-midnight rule, AHA News Now reports. Included…

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By: Judy Mathias
April 19, 2016
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Joint Commission issues statement on pain management standards

Editor's Note In today’s opioid epidemic, people are looking for a scapegoat, and often it is the Joint Commission’s pain standards that take the blame, says David W. Baker, MD, MPH, FACP, in response to an April 13 letter from five dozen nonprofit groups and medical experts laying out issues…

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By: Judy Mathias
April 19, 2016
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NIH announces initiative to reduce disparities in surgical outcomes

Editor's Note The National Institutes of Health (NIH) on April 18 announced an initiative to support research to better understand and address disparities in surgical care and outcomes for disadvantaged populations. The new program will involve collaboration among several NIH institutes and centers along with the Agency for Healthcare Research…

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By: Judy Mathias
April 19, 2016
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Infections from contaminated duodenoscopes higher than previously estimated

Editor's Note A new congressional investigation shows that the number of infections from contaminated duodenoscopes is much higher than previously estimated, the April 15 Los Angeles Times reports. The Food and Drug Administration (FDA) told investigators that from 300 to 350 patients at 41 facilities in the US and abroad…

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By: Judy Mathias
April 18, 2016
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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…

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By: Judy Mathias
April 18, 2016
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FDA issues draft guidance on hospital and health system drug compounding

Editor's Note The Food and Drug Administration (FDA) on April 15 issued draft guidance on “Hospital and Health System Compounding Under the Federal Food, Drug, and Cosmetic Act.” Hospital pharmacies or standalone pharmacies that are part of a health system provide compounded drugs for administration in the hospital or health…

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By: Judy Mathias
April 18, 2016
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Nurse innovators pursue ideas to improve patient care, build new devices

Editor's Note Nurses are becoming innovators at the MakerHealth Space at the University of Texas Medical Branch-Galveston---a workspace where they can brainstorm ideas for healthcare innovations that will improve patient care, and they can build prototypes of their ideas. MakerHealth Space began as an expedition site for a concept from…

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By: Judy Mathias
April 15, 2016
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Musical preference differs by OR specialty, professional role

Editor's Note Musical preferences and perceptions of the effect of music in the OR differ by professional status and specialty, this study finds. A survey of 282 patients and 390 providers (ie, physicians, residents, and nurses in anesthesiology and surgery), found that: Patients who highly enjoyed music said it alleviated…

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By: Judy Mathias
April 15, 2016
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ACS updates Statements on Principles, including position on concurrent surgeries

Editor's Note The American College of Surgeons on April 12 released an update of its Statements on Principles, which includes its position on the practice of concurrent surgeries performed by a primary attending surgeon. The statement notes that in general, the primary attending surgeon should be in the operating suite…

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By: Judy Mathias
April 15, 2016
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Bariatric surgeon skill not linked to late outcomes

Editor's Note Weight loss and obesity-related comorbidity outcomes at 1 year after surgery are unrelated to surgeon skill, this study finds. Comparing patients who were operated on by surgeons in the top 25% for surgical skill scores and surgeons in the bottom 25%, there were no major differences in the…

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By: Judy Mathias
April 14, 2016
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