Uncategorized Editor's Note In this study, hospitals reduced costs associated with percutaneous coronary interventions (PCIs) when cardiologists performed the procedures through the radial artery and discharged patients on the same day. The analysis of 280,000 Medicare patients found that an average cost of $13,389 for the radial artery approach with same-day…
Editor's Note Researchers at the University of Michigan (U-M), Ann Arbor, have invented a new $500 surgical instrument that is vying to replace the $2 million deVinci robot for minimally invasive surgery. FlexDex, a mechanical platform that mounts to the surgeon’s arm, enables the tip of an instrument to mimic…
Editor's Note ECRI Institute (Plymouth Meeting, Pennsylvania) on February 21 released a free mergers and acquisitions infographic. The infographic is intended to help hospitals and health systems who have completed a merger or acquisition to identify supply-item savings and opportunities and develop a consolidated medical equipment strategy. Registration required. You…
Editor's Note Risk-adjusted Medicare payments for an episode of surgical care were similar at teaching and nonteaching hospitals for three complex surgical procedures, this study finds. Teaching vs nonteaching hospital payments included: abdominal aortic aneurism repair−$29,946 vs $27,993 pulmonary resection−$25,407 vs $26,813 colectomy−$34,949 vs $30,352. Very major teaching hospitals had…
Editor's Note A middle-aged woman pretending to be a surgical resident was able to gain access to 5 ORs over 2 days at the Brigham and Women’s Hospital without an identification badge before she was stopped, the February 5 Boston Globe reports. For several days the woman walked the halls…
Editor's Note Surgical site infections (SSIs), especially serious infections resulting in hospitalization or surgical treatment, were associated with significantly increased health care costs after four common ambulatory surgical procedures, this study finds. The incidence of serious SSIs was 0.8% after 21,062 anterior cruciate ligament reconstructions, 0.5% after 57,750 cholecystectomies, 0.6%…
Editor's Note This study by Cori L. Ofstead, MSPH, and associates found that more rigorous reprocessing was not consistently effective in freeing endoscopes of contamination, and many had scratches and dents that could harbor blood, tissue, and bacteria. Even after reprocessing using current guidelines or additional measures, 12 of 20…
Editor's Note New Massachusetts (Mass) state regulations approved January 11 allow freestanding ambulatory surgery centers (ASCs) to apply for permission to expand or offer new lines of procedures without being affiliated with an acute care hospital, the January 19 Enterprise News reports. The new regulations lift a 20-year moratorium on…
Editor's Note In this study of flexible gastrointestinal (GI) endoscopes, none demonstrated clinically relevant contamination at hang times ranging from 7 to 555 days, and most remained uncontaminated up to 56 days after reprocessing. The data suggest that properly cleaned and disinfected GI endoscopes could be stored safely for longer…
Editor's Note The American College of Surgeons (ACS) on January 20 notified members that it had received a letter from the Centers for Medicare & Medicaid Services (CMS) saying new moderate sedation codes that took effect January 1 were incorrectly bundled into several surgical procedures codes in CMS payment software.…
