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ASA, Premier extend Perioperative Surgical Home learning collaborative

Editor's Note The American Society of Anesthesiologists (ASA) and Premier, Inc, will extend their national learning collaborative to improve inpatient and outpatient care for surgical patients for an additional 2 years. ASA chose Premier in 2014 to develop a learning collaborative to implement the Perioperative Surgical Home (PSH) model of…

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By: Judy Mathias
October 28, 2015
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Anesthesiology-based service for management of pacemakers, ICDs

Editor's Note An anesthesiology-based service can meet the challenge of providing efficient and high-level care for surgical patients with cardiovascular implantable electronic devices, including pacemakers and implantable cardioverter defibrillators (ICDs), this study finds. Such a service, however, requires specialized provider training and strong support from the electrophysiology/cardiology service, and will…

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By: Judy Mathias
October 22, 2015
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Bariatric surgery vs lifestyle intervention for diabetes treatment

Editor's Note Bariatric surgery along with 2 years of low-level lifestyle interventions resulted in more type 2 diabetes remissions than lifestyle interventions alone at 3-years followup, this study finds. Participants were randomized to either intensive lifestyle weight loss interventions for 1 year followed by low-level lifestyle interventions for 2 years…

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By: Judy Mathias
October 21, 2015
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Price increases much lower in ASCs than hospital outpatient departments

Editor's Note For six outpatient surgical procedures, prices paid to ASCs grew in line with general medical prices, whereas prices paid to hospital outpatient departments for the same procedures climbed sharply, this study finds. Private insurers paid ASCs considerably more than Medicare for the same procedures. Medicare pays ASCs a legislated…

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By: Judy Mathias
October 14, 2015
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Suicide attempts increase after bariatric surgery

Editor's Note Bariatric surgery patients were at a much higher risk of suicide after surgery than before, in this study. Of 8,815 patients included in the study, 111 had 158 self-harm emergencies during follow-up. Overall, self-harm significantly increased postoperatively (3.63/1,000 patient years) compared with preoperatively (2.33/1,000 patient years). Self-harm emergencies…

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By: Judy Mathias
October 12, 2015
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ASCs report high use of Safe Surgery Checklist

Editor's Note The Centers for Medicare & Medicaid Services on October 8 released data showing that 99% of Medicare-certified ambulatory surgery centers (ASCs) use a Safe Surgery Checklist, the ASC Association reports. The data was collected in 2012 and made public on Medicare’s Hospital Compare website. Today, the Centers for…

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By: Judy Mathias
October 9, 2015
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Achieving quality improvement depends on the local culture

The key to sustaining quality outcomes is promoting confidence and engagement of surgical teams, says Clifford Ko, MD, MS, MSHS, FACS, director of the National Surgical Quality Improvement Program and Division of Research and Optimal Patient Care, at the American College of Surgeons in Chicago. Dr Ko gave the keynote…

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By: Judy Mathias
October 8, 2015
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ICD-10 transition begins well, further tests coming

Editor's Note The ICD-10 transition began well last week because of the time and effort spent preparing the new codes, but claims rejections could cause further problems towards the end of the month, according to Modern Healthcare. Organizations most likely to have trouble will be the smaller providers and health…

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By: Judy Mathias
October 7, 2015
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ASCs reduce spine surgery costs, maintain quality

Editor's Note A study presented at the Congress of Neurological Surgeons annual meeting found that performing spine procedures in ambulatory surgery centers (ASCs) can reduce costs while sustaining patient satisfaction scores, Spine Surgery Today reports. Of 1,000 spine procedures performed in an ASC, eight patients had to be transferred to…

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By: Judy Mathias
October 7, 2015
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FDA orders duodenoscope manufacturers to conduct postmarket surveillance studies

Editor's Note The Food and Drug Administration on October 5 ordered three manufacturers of duodenoscopes marketed in the US to study the reprocessing of their devices in the clinical setting where they are used. The three manufacturers—Olympus America, Inc; Fujifilm Medical Systems, USA, Inc; and Hoya Corp (Pentax Life Care…

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By: Judy Mathias
October 5, 2015
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