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Importance of intraoperative vascular surgery assistance

Editor's Note The high proportion of emergent surgical cases that require vascular repair demonstrates the importance of having vascular surgeons immediately available at the hospital, this study finds. Of 299 patients in 12 surgical subspecialties that were included in the study, there were indications for vascular surgery assistance in 156…

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By: Judy Mathias
August 3, 2016
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PinnacleHealth opens preoperative clinic for high-risk ortho patients

Editor's Note On July 27, PinnacleHealth (Harrisburg, Pennsylvania) announced the opening of its Surgery Optimization Clinic to support orthopedic patients at high risk for surgical complications. Other high-risk surgical patient service lines will be added by the end of the year. The aim of the program is to improve patient…

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By: Judy Mathias
July 28, 2016
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CMS to bundle payments for CABG, expand orthopedic program

Editor's Note The Centers for Medicare & Medicaid Services (CMS) will select 98 hospitals in metropolitan areas to take part in a 5-year mandatory program to test a bundled-payment model for myocardial infarction and coronary artery bypass graft (CABG) procedures, the July 25 Modern Healthcare reports. CMS will also expand…

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By: aadeleke
July 26, 2016
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SSI rates after pediatric outpatient surgery

Editor's Note Surgical site infections (SSIs) after pediatric outpatient surgery occur at an appreciable rate and convey morbidity, this study finds. Of more than 15,000 pediatric outpatient surgical cases analyzed, the SSI rate was 2.9 per 1,000 procedures. Otolaryngology procedures had significantly lower SSI rates, compared with endocrine, integumentary, male…

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By: Judy Mathias
July 25, 2016
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Association between surgery in early life and child development

Editor's Note Children who have surgery before primary school age are at increased risk of early developmental vulnerability, but the difference between exposed and unexposed children is small, finds this study. The analysis included 28,366 children (age 5-6 years) who had surgery and 55,910 children who did not have surgery…

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By: Judy Mathias
July 22, 2016
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Incidence of advanced prostate cancer skyrockets

Editor's Note The number of new cases of men with metastatic prostate cancer in the US has increased 72% in the past decade, this study finds. The largest jump was in men aged 55 to 69 years (92% increase), the age group who benefits the most from prostate cancer screening…

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By: Judy Mathias
July 21, 2016
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Reducing OR traffic during total joints lowers SSIs

Editor's Note Implementing strategies to reduce the number of OR door openings during total hip and knee procedures helped lower surgical site infections (SSIs) in this study presented at the 2016 American College of Surgeons National Surgical Quality Improvement Program Conference in San Diego. Strategies included stopping all traffic in…

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By: Judy Mathias
July 19, 2016
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Teamwork key to survival of Orlando shooting victims

It was shortly after 2 am on Sunday, June 12. Ambulances, trucks, and cars started arriving at Orlando Regional Medical Center (ORMC) loaded with shooting victims from a terrorist attack at the Pulse nightclub. Because ORMC was just a couple of blocks from the nightclub, first responders loaded multiple victims…

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By: OR Manager
July 19, 2016
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Secure apps loop in families during surgery

How do OR leaders enhance family members’ satisfaction with the communication they receive when their loved ones are in surgery? Thanks to advances in technology, many are turning to tools like mobile apps and text messaging. At Memorial Medical Center (MMC) in Springfield, Illinois, Lexanne Darwent, BSN, RN, helped implement…

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By: OR Manager
July 19, 2016
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Surgical comanagement by hospitalists improves outcomes

Editor's Note A surgical comanagement hospitalist program reduced complications, length of stay, 30-day readmissions, number of consultants, and cost of care in this study. There was no significant changed in patient satisfaction and the average savings was $2,642 to $4,303 per patient. This retrospective study by researchers from Stanford University…

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By: Judy Mathias
July 18, 2016
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