Uncategorized Editor's Note The Food and Drug Administration (FDA) on February 7 announced that it had cleared the updated design and labeling for Pentax Medical's duodenoscope Model ED-3490TK. Pentax replaced the forceps elevator mechanism, O-ring seal, and distal end cap, and updated the Operation Manual to recommend annual maintenance. The design…
Editor's Note Implementation of an enhanced recovery pathway (ERP) for colorectal surgical patients substantially reduced length of stay, total hospital costs, and direct pharmacy costs without increasing complications or readmission rates in this study. The study, which included 160 colorectal patients before ERP was implemented and 146 patients after implementation,…
Editor's Note Implementation of stringent OR attire policies that include full coverage of ears and facial hair do not reduce surgical site infection (SSI) rates, finds this study. Researchers compared National Surgical Quality Improvement Program (NSQIP) data from all patients having surgery 9 months before implementation (3,077) to 3,440 patients…
Editor's Note In this experimental laboratory study, all cleaning and rinsing methods tested were effective in reducing the levels of organic residues on laparoscopic instruments. Four methods were examined: manual-only cleaning and rinsing with potable tap water manual cleaning and rinsing with potable tap water, followed by ultrasonic cleaning without…
Editor's Note The ECRI Institute on January 22 announced the released its annual “Top 10 Hospital C-suite Watch List." Among the new and emerging innovations to watch are: Acuity-adaptable rooms, where hospitals keep a patient in the same room from admission to discharge, regardless of acuity level. Insertable cardiac monitors…
Editor's Note The ECRI Institute on January 19 announced the release of a special Health Devices guidance article featuring recommendations and alternative solutions for dealing with the IV-fluid minibag (50-250 mL) shortage that resulted form Hurricane Maria in Puerto Rico. The guidance provides a functional equivalence chart for IV solution…
Editor's Note Surgeon volume of adult general surgical procedures was significantly associated with lower morbidity and costs after pediatric laparoscopic cholecystectomy in this study. Of 3,519 laparoscopic cholecystectomies performed in pediatric patients, the overall morbidity rate was 3.9%. High-volume general surgeons had an odds of all-cause morbidity that was 68%…
Medical technology is intended to improve patient care, but even the best technology—if configured, used, or maintained improperly—can lead to problems. Hospitals must regularly examine their hazard control priorities to target the most pressing risks. ECRI Institute’s annual Top 10 Health Technology Hazards report identifies high-priority sources of danger or…
Editor's Note The Centers for Medicare and Medicaid Services (CMS) on January 9 announced a new voluntary bundled payment model called, “Bundled Payments for Care Improvement Advanced” (BPCI Advanced). Participants in BPCI Advanced will receive payments for performance on 32 (29 inpatient, 3 outpatient) different clinical episodes. The first cohort…
Editor's Note The Agency for Healthcare Research and Quality (AHRQ) on January 9 announced a new “Safe Transitions Toolkit” for clinical staff working in ambulatory care settings. The toolkit is designed to help staff actively engage patients and their care partners to prevent errors during care transitions. The toolkit includes…
