What constitutes good or sufficient surgical lighting in today’s operating room is not the same as it was just a few short years ago. Advancements in technology and product development have sparked an ongoing evolution of lighting products. As a result, the needs, wants, and expectations of hospitals and medical facilities have grown and evolved as well.
President Obama said Tuesday that his healthcare law was “working fine,” and he played down concerns that the law could disrupt coverage or lead to higher premiums for people who already had health insurance. At the same time, federal officials released simplified application forms to be used by people seeking health insurance, tax credits and other government subsidies under the law, which Obama signed three years ago.
The rise of these superbugs, along with increased pressure from the government and insurers, is driving hospitals to try all sorts of new approaches to stop their spread: "Star Wars" machines that emit ultraviolet light or hydrogen peroxide vapors, and germ-resistant copper bed rails, call buttons and IV poles. While these products can help get a room clean, their true impact is still debatable.
Placing healthy organs in the same container we use to keep soda cold at a picnic seems archaic. But until recently, it was the only option hospitals had. That changed with heart-in-a-box. In 2006, surgeons in Europe transplanted the first heart using the TransMedics Organ Care System, a portable device that kept the heart "alive" -- beating, with blood and oxygen flowing through it -- during transport.
A one-stop "hybrid" operating room that allows surgeons and cardiologists to repair blocked arteries in the same setting improves outcomes in certain patients, a large, single-center study found. There were significantly lower adverse events in patients treated in the hybrid suite compared with those who received isolated percutaneous coronary intervention (PCI) at 3 years (6.4% versus 22.7%, P<0.001).
The Affordable Care Act includes numerous reforms to improve the quality of healthcare and lowers costs for taxpayers and patients. Health IT is critical to implementing and making these new payment and delivery models work. It provides the kind of smart data and analytics that is already helping programs such as Accountable Care Organizations, bundled payments, patient-centered medical homes, and value-based purchasing.
To comply with a provision in the Affordable Care Act, drug and device manufacturers, along with group purchasing organizations, will have to disclose all of their payments and other compensation to physicians and teaching hospitals. Those who don’t comply could be fined.
Emergency management is a focus at every hospital. Throughout the year, drills are done in conjunction with various agencies and organizations. However, nothing provides the same lessons that real-life experience can give. The bombings in Boston have certainly provided a number of valuable lessons for facilities.
The researchers found little relationship between a hospital’s patient satisfaction scores and most quality ratings. “At present, little evidence supports its ability to predict the quality of surgical care,” Heather Lyu, Dr. Martin Makary and the other researchers wrote.
Data from an unidentified 12-hospital system in 2010 indicated that the occurrence of surgical complications boosted the "contribution margin" -- the difference between gross revenues and variable costs associated with patient care -- relative to cases without complications, when they involved the 85% of patients who had Medicare or private insurance.
Rats have received working kidneys that were grown in a laboratory, possibly opening the door for scientists to be able to grow genetically-customized organs for human patients. This study reports important milestones toward engineering replacement kidney grafts [and] shows the potential for this strategy.
Surgeons performed an intense operation on Kathleen Anderson, cooling down her body as they stopped her heart, so no brain damage occurs, then delicately stripping the blockages in her pulmonary arteries that were robbing her body of oxygen.
Weight loss following gastric bypass surgery was associated with changes in gene methylation that may affect insulin sensitivity, researchers said. Dynamic changes in DNA methylation may be an early event that orchestrates metabolic gene transcription involved in the regulation of insulin sensitivity in human obesity.
The study in Annals of Emergency Medicine looked at 11,976 patients discharged from Boston Medical Center, the largest safety net hospital in New England, in the first half of 2010. The total number of impatient discharges during the period studied was 15,519, including patients who were readmitted more than once.
Constantly beeping alarms from devices that monitor the vital signs of the critically ill have "desensitized" hospital workers who sometimes ignore the noise, leading to at least two dozen deaths a year on average, a hospital accrediting group said Monday.