Surgery/Specialties Editor's Note APRIL 2010 OR leaders are striving to make evidence-based decisions about new technology. OR Manager, Inc, and ECRI Institute have joined in a collaboration to bring quarterly supplements with summaries of the Institute's technology assessment reports to OR Manager readers. ECRI Institute is an independent nonprofit organization that…
Everything from washers to cars comes with a warranty, so why not health care? Geisinger Health System in Danville, Pennsylvania, introduced health care warranties with an innovative program called ProvenCare. Under the 90-day warranty, one cost covers the surgery and 90 days of follow-up treatment. Geisinger absorbs any additional costs…
Millions of Americans struggling with severe obesity may in the future have an incision-free option for weight loss. Surgeons are evaluating a procedure called TOGA—for transoral gastroplasty—as part of a multicenter clinical study. The procedure, which involves passing a stapler down a patient's throat and stapling the stomach from the…
What does it take for an OR to get to the top of the chart in physician satisfaction? Baptist Medical Center Beaches, a 146-bed hospital serving the coastal communities of Jacksonville, Florida, scored in the 99th percentile for physician measures in a Press Ganey survey, one of the highest scores…
Will there be enough general surgeons to meet the needs of an aging population? How will the supply affect hospital ORs? Findings from a new study suggest the nation could be facing a shortage. The number of general surgeons per 100,000 Americans has fallen by more than 25% over the…
After 5 years of planning, Saint Joseph Mercy Hospital in Ann Arbor, Michigan, opened its 18 new ORs in November 2006. A year later, physicians, staff, and the project team are happy with the outcome—a sign of success in the planning and design process. The new ORs and postanesthesia care…
Like a car's global positioning system (GPS), computer-assisted surgical navigation helps orthopedic surgeons get their bearings. A navigation system receives and transmits data about joint surfaces and placement of implants, displaying the information on a computer screen where the surgeon can view it. An image from the BrainLab VectorVision navigation…
Lumbar fusion has grown rapidly, skyrocketing by more than 250% in the past 20 years. Costs have risen even faster, by more than 500% in Medicare patients alone, according to a recent study from Dartmouth. Lumbar fusion accounts for almost 50% of all back surgery performed in the US. Now…
Patients having hip replacement surgery can in rare cases develop bone cement implantation syndrome (BCIS). In 5 out of 6 reports of the syndrome received by the Pennsylvania Patient Safety Authority the patient died from cardiac arrest associated with the implantation of the new prosthesis. Though use of cement for…
