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Surgical Products Daily

Evidenced-Based Guidelines Today, Malpractice Tomorrow

February 24, 2014 5:39 am | by Karen S. Sibert, M.D. | Comments

We hold these truths to be self-evident: A hospital administrator with a clipboard is in search of a physician who isn’t following “evidence-based guidelines. Furthermore, there are fads in medicine just as there are in fashion — today’s ”evidence-based guidelines” may be tomorrow’s malpractice...

Universal Medical Licensing For Doctors -- A Good Idea That Will Never Happen

February 24, 2014 5:14 am | by Skeptical Scalpel | Comments

Some well-intentioned people at the Center for American Progress say that the concept of individual state medical licenses is outdated, and states should recognize each others' licenses. Universal medical licensing is a great idea, but it will never happen...

The Sad State Of The U.S. Emergency Care System

February 21, 2014 10:11 am | by Mike Schmidt, Editor, Surgical Products | Comments

There are times when the results of an evaluation are difficult to interpret. There are other times when an assessment does not allow for any legitimate conclusions to be reached or opinions to be formed. However, the results of a recent evaluation of the nation’s emergency care system leave little room for debate. Spoiler alert: The system is not seen in a positive light...

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Single-Incision Vs. Standard 4-Port Laparoscopic Cholecystectomy (Part 2)

February 20, 2014 9:47 am | by sKE | Comments

Here's another paper that shows why reading only an abstract can sometimes be misleading. A prospective trial of 49 patients randomized to single-incision laparoscopic cholecystectomy (SILC) vs. 51 who had standard 4-port laparoscopic cholecystectomy (LC) found that average operative times were 63.5 ± 21.0 minutes for the SILC compared to 43.8 ± 24.2 minutes for those who had LC...

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Five Straightforward Ways To Improve Patient Satisfaction In Hospitals

February 20, 2014 6:55 am | by Suneel Dhand, M.D. | Comments

Patient satisfaction and improving the hospital experience is being discussed in hospital boardrooms across the country. Now that financial reimbursements are directly tied to HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey scores, there is a significant incentive to do so...

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Single-Incision Vs. Standard 4-Port Laparoscopic Cholecystectomy

February 19, 2014 7:10 am | by Skeptical Scalpel | Comments

The saying used to be, "You can get any paper published if you have enough stamps." Now with electronic submission, you don't even need the stamps. A retrospective study comparing single-incision laparoscopic cholecystectomy (SILC) to standard 4-port laparoscopic cholecystectomy (LC) concluded that "SILC showed no disadvantage concerning risk profiles, operative times, or hospital stay." There are problems with this study... 

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Why Hospitals Should Be Scared Of Cyberattacks

February 19, 2014 6:38 am | by Joe Flower | Comments

If you are a CEO or COO of a health care organization, and your IT people have been trying to get your attention, it’s time to have a serious sit-down with them. If they haven’t been trying to get your attention, it’s time to have a more serious sit-down with them, complete with charts and graphs and arrows on flip charts. Here’s why...

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Antibiotics Instead Of Surgery For Appendicitis? No Way

February 18, 2014 9:16 am | by Skeptical Scalpel | Comments

A retrospective study from California claims that the nonoperative management of simple appendicitis may be safe and is worth studying further. Why am I not convinced? Because every time this subject comes up, the paper purporting to show that antibiotics are superior or even equal to surgical treatment is flawed...

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Obamacare Is Considering Extending Individual Health Insurance Policies

February 14, 2014 1:16 pm | by Robert Laszewski | Comments

Is Obamacare unraveling? Rumors have been circulating in the marketplace all week that the administration was thinking of extending the individual health insurance policies that Obamacare was supposed to have cancelled for as much as three more years...

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The Friday Four: Surgeon Creates 3D-Printed Pelvis

February 14, 2014 9:40 am | 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. Discussed this week: A Pennsylvania nurse accused of helping her terminally-ill father commit suicide, a 14-year-old boy's inspirational message in the snow brings joy to several hospital patients in Chicago, and more. Happy Friday!

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Does Obamacare Really Kill Jobs?

February 13, 2014 9:22 am | by Brad Wright, PhD | Comments

Those who think that the Affordable Care Act is bad for business have seized on a recent report–specifically the part about the projected decline of 2 to 2.5 million full-time-equivalent workers — to claim that their concerns about the “job-killing healthcare law” have been vindicated. But that’s not the real story...

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Infection Control Versus Psychology: To White Coat Or Not

February 12, 2014 11:07 am | by Michael Edmond, M.D., MPH | Comments

As you enter your next patient’s room, bare below the elbows in your freshly laundered scrubs, stop for a split second and imagine yourself sporting a shiny white coat in all of its radiant splendor with a Superman logo blazing above the chest pocket...

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Physician Burnout: The Additive Effect Of Bureaucracy On The Psyche

February 11, 2014 9:31 am | by Sid Schwab, M.D. | Comments

In trying to understand my own burnout, “control” (or lack thereof) is a dominant theme. This is nothing new. In fact, I doubt I’m unearthing bones not already thoroughly analyzed. But I can give instructive personal examples...    

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Inside The First Scandal In Patient Safety

February 10, 2014 9:50 am | by Bob Wachter, M.D. | Comments

In a remarkable number of cases of medical errors, it’s clear — again, in retrospect — that there were signs that something was amiss, but they were ignored. The reasons are manifold: I was just too busy, things are always glitchy around here, I didn’t want to be branded a troublemaker by speaking up…. Part of the work of patient safety has been to alert us to this risk, to get us to trust our internal “spidey-sense..."

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The Friday Four: The Man With The Bionic Hand

February 7, 2014 11:09 am | 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. Happy Friday!                           

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