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Surgical Products Daily

Why Hospitals ‘Live In Two Worlds’

June 7, 2013 9:44 am | by Jenny Gold | Comments

For the past several years, hospital CEOs have been talking a big game about accountable care. But investing in risk-sharing doesn’t mean health systems are giving up on the fee-for-service system, which rewards providers for every test and treatment whether or not it improves the health of a patient.

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Does Shared Decision Making Really Increase Health Costs?

June 5, 2013 10:47 am | by Dave DeBronkart | Comments

In the business of medicine, one of the brightest hopes is the potential for re-optimizing our spend around what patients want. That’s important because decades of research in the field of shared decision making have shown that when there’s a range of options to treat a condition, informed patients choose less spending and less invasive treatment.

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Winning The MRSA Battle In Hospitals

June 4, 2013 9:10 am | by Anahad O'Connor | Comments

Treating every single patient who enters an intensive care unit with special disinfectant soaps and ointments drastically reduces the spread of the drug-resistant bacteria MRSA and cuts the rate of bloodstream infections in hospitals, a new study shows. By adopting a universal strategy of disinfecting the most vulnerable patients, hospitals could make substantially more progress against serious infections.

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What I Look For In An EMR

June 3, 2013 9:30 am | by Rob Lamberts, M.D | Comments

Perhaps the problem is that I still use the term “medical record,” or (worse) “EMR” to describe what I am looking for.  While computers have been an important part in the corruption of the system, they have not been the cause of the screwing up, they have simply made the screwing happen at a much faster rate.

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For New Doctors, Eight Minutes Per Patient

May 31, 2013 9:50 am | by Pauline Chen, M.D. | Comments

Most people I knew became doctors because they wanted to interact with patients. Now a new study confirms the opposite: doctors-in-training are spending less time with patients than ever before. There is just no substitute for time in doctor-patient relationships. Efficiency is important but it isn’t the end of the story.

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My Near Miss

May 29, 2013 9:25 am | by Danielle Ofri | Comments

An intracranial bleed? You couldn’t do much worse than miss an intracranial bleed. How had I let my craze to decrease my patient load overtake proper medical care? I had failed to check the head CT! I was appalled at myself, mortified by my negligence. I stumbled through the rest of the day, an acrid mix of shame and guilt churning inside me.

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Doctors Ill Prepared For Patients With Disabilities

May 28, 2013 9:22 am | by Pauline Chen, M.D. | Comments

It’s been nearly 23 years since the Americans With Disabilities Act, a federal law prohibiting discrimination against people with disabilities, went into effect. Despite its unequivocal language, studies in recent years have revealed that disabled patients tend not only to be in poorer health, but also to receive inadequate preventive care and to experience worse outcomes.

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Transitional Care Programs Are Ripe For Innovation

May 24, 2013 9:36 am | by Michael Cetta, M.D. | Comments

Transitional care programs are ripe for innovation for forward-thinking providers who are willing to do the difficult work of making these programs a success. For hospitals, even seemingly modest success, such as preventing a few dozen readmissions, can yield a financial benefit – and preventing more than that could save a hospital millions of dollars.

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The Traps Of Treating Pain

May 22, 2013 12:22 pm | by Abagail Zuger, M.D. | Comments

Doctors hate pain. Let me count the ways. We hate it because we are (mostly) kindhearted and hate to see people suffer. We hate it because it is invisible, cannot be measured or monitored, and varies wildly and unpredictably from person to person. We hate it because it can drag us closer to the perilous zones of illegal practice than any other complaint.

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Ten Mistakes Practices Make In Implementing Information Technology

May 21, 2013 10:02 am | by Rosemarie Nelson | Comments

Simply acquiring technology is not enough; it is essential to implement the technology effectively to achieve those types of results. Here, then, are the top 10 mistakes practices make in implementing information technology — and how to avoid making them.

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Medical Mistakes Occur At All Levels Of Care

May 20, 2013 9:25 am | by Itzhak Brook, M.D. | Comments

I was not aware how common these errors are until I became a patient myself after being diagnosed with hypopharyngeal carcinoma. I am sharing my personal experiences about the medical and surgical errors that occurred during my hospitalizations at three different hospitals.  My inability to speak after surgery made it difficult for me to prevent all of these mistakes. Fortunately, I was able to abort many of them.

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Why It’s Risky To Pay For A Proprietary Health IT System

May 17, 2013 9:13 am | by Edmund Billings, M.D. | Comments

While it may seem that the financial problem created by expensive, proprietary health IT is simple and straightforward—health IT expenses push the budget into the red, doctors see fewer patients, revenue falls, and creditors come calling—healthcare economics are unique and apparently beamed from some other dimension where up is down and black is white, so linear explanations don’t really hold.

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Let's Move Forward

May 15, 2013 10:13 am | by Mike Schmidt, Editor, Surgical Products | Comments

I hope that the FDA’s efforts investigate robotic surgery will not slow or dissuade brilliant individuals and forward-thinking companies from developing more useful solutions for the operating room. I have no desire to see hospitals, surgeons, and OR staff members balk at these solutions in favor of re-embracing traditional or old-fashioned practices and attitudes.

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Medical Devices Fall Short For Children

May 14, 2013 9:45 am | by Laurie Tarkan | Comments

“Innovation in medicine is driven by need, but also by the market,” said Dr. Michael R. Harrison, the director emeritus of the Fetal Treatment Center and the director of the Pediatric Device Consortium, both at the University of California, San Francisco. “Big markets have lots of folks developing devices, but small markets like the pediatrics market don’t.”

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Will The da Vinci Robot Go The Way Of Laparoscopic Surgery?

May 13, 2013 9:37 am | by Richard Patterson, M.D. | Comments

One obvious question: is the robot another “laser”? There is a more fundamental and important question. Granting that the pace of traditional development and evaluation of products may not excite investors, are we going to cede that vital function to those for whom scientific probity may not match their interest in the equity market?

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