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Surgical Products Daily

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…

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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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Everything’s My Fault: How A Surgeon Says I’m Sorry

November 13, 2013 8:58 am | by Lara Devgan, M.D., M.P.H. | Comments

When something went wrong with one of my patients — whether it was his fault, my fault, or someone else’s — it was always my responsibility. When a person trusts you with his life, the buck stops with you...          

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Are 'Safety Scalpels' Safer Than Standard Scalpels?

November 12, 2013 9:17 am | by Skeptical Scalpel | Comments

In their discussion, the authors of a recent study point out that the introduction of safety scalpels might have the opposite effect on safety due to factors such as personnel not being familiar with how they work and that safety scalpels have never been subjected to rigorous evaluation by failure mode and effects analysis. And they noted that injuries related to the use of safety scalpels have been reported...

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The Benefits Of A Free, Web-Based EHR

November 11, 2013 9:05 am | by David Wyatt, M.D. | Comments

As a physician who uses a free EHR, I chuckle at stories trying to drum up fear and uncertainty about these systems. Though free EHRs have become mainstream, there still seems to be a clever news angle in highlighting their supposed pitfalls. We live in a time when Google offers all of its services online for free, but many doctors question that you can have a free EHR with no strings attached...

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Physicians Are The Biggest Driver Of Health Costs

November 8, 2013 9:20 am | by Kenneth Lin, M.D. | Comments

The U.S. healthcare non-system provides physicians with numerous incentives to “do the wrong thing” in patient care. The more services we provide, the more money we make...             

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Do More Hospital Resources Equal Better Care?

November 7, 2013 9:13 am | by Skeptical Scalpel | Comments

For surgical patients, the answer is "Yes." A recent study from England found that mortality rates for patients admitted with high-risk general surgery diagnoses were significantly lower in National Health Service Trust hospitals that used more CT scans and ultrasounds and had more ICU beds...

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Should All Surgeons Have Video Assessments Of Their Skills?

November 6, 2013 9:30 am | by Skeptical Scalpel | Comments

Last month, a superb study by the Michigan Bariatric Surgery Collaborative showed that the more skilled surgeons were, the better were their outcomes. I agree that the study was well-done and shows that technically better surgeons have better outcomes. But there are some problems with generalizing this to all surgeons...

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