Uncategorized Editor's Note The prevalence of malignant hyperthermia (MH) in ambulatory surgery center (ASC) patients in New York state is approximately 1 per 500,000 and varies with surgical procedures, this study finds. Analyzing New York State Ambulatory Surgery Dataset data from 2002 to 2011, researchers found 31 of nearly 18 million…
Editor's Note Last year, government regulators blocked large companies that employ many low-wage workers from claiming that insurance coverage with no inpatient hospital benefits met the Affordable Care Act’s rules. These same companies are now purporting to meet the rules with plans that exclude outpatient surgery, the January 21 Washington Post…
Editor's Note Nearly 300 patients who had colonoscopies at Baystate Noble Hospital in Westfield, Massachusetts, may have been exposed to HIV and hepatitis because of a lack of adequate disinfection measures used to clean endoscopes, the January 23 Tech Times reports. The hospital started using new equipment that required a…
Editor's Note The Food and Drug Administration (FDA) on January 21 issued final guidance for “Submission and Review of Sterility Information in Premarket Notification (510(k)) Submissions for Devices Labeled as Sterile." The document updates and clarifies information regarding sterilization processes and details about pyrogenicity the FDA recommends that sponsors include…
Editor's Note In this study, researchers from Yale-New Haven Hospital, New Haven, Connecticut, calculated a risk-adjusted outcomes measure of outpatient colonoscopy, which shows important variation in quality among outpatient facilities. The outcomes measure profiles outpatient facility quality by examining rates of unplanned hospital visits in the 7 days after colonoscopy.…
Part 1 of this two-part series, published in the January issue of OR Manager, discussed the concepts of professional peer review (PPR). In this article, experts from University Medical Center (UMC) in Lubbock, Texas, and Boston Medical Center share strategies for implementing the process. Staff involvement Once staff understand…
OR Manager and ECRI Institute have joined in a collaboration to bring OR Manager readers periodic articles on topics such as medical technology management and procurement, risk management, and patient safety. ECRI Institute is an independent nonprofit that researches the best approaches to improving patient care. Every year, hospitals…
Editor's Note The Food and Drug Administration (FDA) on January 15 cleared the Olympus TJF-Q180V duodenoscope with design and label modifications intended to reduce the risk of bacterial infections. The new design of the elevator channel sealing mechanism creates a tighter seal and reduces the potential for leakage of fluids…
Editor's Note Medicare data on payments for inpatient surgery are a reliable measure of hospital costs for commonly performed procedures, but are less reliable for lower volume procedures, this study finds. With increased emphasis on shifting risk from payers to providers through bundled payments and accountable care organizations, hospitals are…
Editor's Note This 20-year study of more than 11,000 solid organ transplant patients found they had a 1.93 to 2.84 times higher risk of dying from cancer. The risk was highest for skin cancer, followed by non-Hodgkin's lymphoma, and liver cancer. The administration of immunosuppressants or less aggressive cancer treatment…
