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Surgical Products Daily

OPINION: How Obamacare Will Creatively Destroy Primary Care As We Know It

December 5, 2013 9:36 am | by Margalit Gur-Arie | Comments

As Obamacare is winding its way through a hellish bureaucratic labyrinth of its own creation, accompanied by cheers and boos from the blood thirsty spectator crowds, confusion, fear, trepidation, despair, and exhilaration, are gripping America’s doctors all at once, because whatever else is accomplished in the next decade, medicine will never be the same...

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Health Reform Will Close Hospitals: Why That May Not Be A Bad Idea

December 4, 2013 9:35 am | by Robert Pearl, M.D. | Comments

Since 2000, the number of acute-care hospitals has held steady at around 5,700. However, the push to limit utilization at these high-cost facilities continues while low-volume hospitals across the country are struggling to survive...  

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Using Simulated Patients In Medical Education

December 3, 2013 9:33 am | by Felise Milan, M.D. | Comments

The use of standardized or simulated patients (SPs) in medical education for the teaching and assessment of clinical skills has enormously expanded the opportunities for medical students and residents to develop and practice their skills in challenging and high-risk clinical situations without any risk to patients...

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Despite Checklists, Wrong-Site Surgery Still Occurs. Why?

December 2, 2013 9:57 am | by Skeptical Scalpel | Comments

Not long ago, two California hospitals were cited by the state for wrong site surgery. Both hospitals made the usual system and protocol corrections that are precipitated by any state investigation. But these were human errors and will likely happen again. The existing policies were adequate. They simply were not followed...

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The Friday Four: Will Derrick Rose Ever Be The Same Again?

November 29, 2013 5:58 pm | by Mike Schmidt, Editor, Surgical Products | Comments

The Friday Four seeks to highlight some of the people behind some of the interesting stories I stumble upon during my daily search for relevant content. Without further ado, here’s the second installment…                    

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Will Video Replays Lead To Safer Surgeons?

November 26, 2013 9:36 am | by Kevin R. Campbell, M.D. | Comments

Surgeons must use every tool possible to ensure that we can continue to improve our skills as we progress in our careers.  Evaluations such as video observation should be incorporated into training programs and may also play a role in continuing education for physicians throughout their careers...

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Spending More And Getting Less For Healthcare

November 25, 2013 10:01 am | by Pauline Chen, M.D. | Comments

Studies since the 1980s have shown that despite spending enormous sums on healthcare, Americans are less healthy than their counterparts in other developed countries. In the most recent studies comparing the United States to 17 other wealthy industrialized nations including France, Japan, Canada and Britain, Americans had a shorter life expectancy...

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Patient Falls Off OR Table: System Error Or Human Error?

November 22, 2013 9:38 am | by Skeptical Scalpel | Comments

An anesthetized patient fell to the floor headfirst from an operating room table during a laparoscopic appendectomy in Scotland. The table had been tilted into an extreme head down position to facilitate the operation. Fortunately, no injury occurred. Instead of addressing the obvious human errors such as failure to place the safety strap, the hospital's plan of correction focused on the following typical system-type corrections...

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The Friday Four: JFK's Last Surviving Surgeon Speaks

November 22, 2013 8:47 am | by Mike Schmidt, Editor, Surgical Products | Comments

I'm starting a regular feature called “The Friday Four.” It seeks to highlight some of the people behind some of the interesting stories I stumble upon during my daily search for relevant content. Without further ado, here’s the first installment…

What Is The Best Metric To Measure A Hospital?

November 21, 2013 8:07 am | by Michael Cetta, M.D. | Comments

If you had to pick a single metric to a measure a hospital, which would you choose? Of course, you can’t boil everything about a hospital down to one, single data point. Defining quality, throughput, and other factors used to evaluate a hospital is difficult business...

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Stopping The Threat Of Drug Resistant Bacteria

November 20, 2013 9:24 am | by Roy Benaroch, M.D. | Comments

The CDC has compiled an extensive report of the top U.S. health risks from infections. Called “Threat Report 2013,” their evaluation shows that the three most worrisome risks have all been created by our own indiscriminant overuse of antibiotics. The biggest baddies are...

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Why Quality Doesn’t Affect Hospital CEO Pay

November 19, 2013 9:27 am | by Ashish Jha, MD, MPH | Comments

CEOs of larger, urban, teaching hospitals get paid a lot more than CEOs of small, rural, non-teaching institutions.  But the disappointment was around quality:  we found no relationship between a hospital’s quality performance and the pay of the CEO...

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Keep Your Government Hands Off My EHR

November 18, 2013 9:29 am | by Robert Hitchcock, M.D. | Comments

It’s human end-users — doctors and nurses — who need to define the usability of electronic health record (EHR) products by their acceptance and use of the products. The government-proposed approaches to enforcing usability for healthcare IT aren’t focused on the opinions of clinicians but on vendor compliance with self-defined testing processes performed in focused areas of their products...

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They Call Me ‘Dr. Kevorkian’

November 15, 2013 9:41 am | by Jessica Nutik Zitter, M.D. | Comments

I believe in letting the dying determine how and when they die, as opposed to coaxing their organs along at all costs. As one of the only doctors I know who straddles these two worlds, I am struck by how many of my colleagues are surprised, even disturbed, by this pairing...

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Solving The Weekend Effect For Patients In The Hospital

November 14, 2013 9:24 am | by Robert Pearl, M.D. | Comments

If you knew you were going to be admitted to the hospital for a serious and unexpected medical problem, which day of the week would you pick. It sounds like a silly question. You don’t get to pick the day you will become sick, of course. It’s unexpected. And why should it make a difference? Isn’t a hospital with a 24 hour nursing staff and on call physicians the safest place you can be? Not always...

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