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EHR-Based Screening Program For AAA Cuts The Number Of At-Risk Men By More Than Half

February 10, 2014 11:02 am | News | Comments

A screening program for abdominal aortic aneurysms, integrated into an electronic health record, dramatically reduced the number of unscreened at-risk men by more than 50 percent within 15 months, according to a Kaiser Permanente study published today...

Diaphragm Pacing In Spinal Cord Injury Successful In Weaning Patients From Ventilators

February 10, 2014 9:58 am | News | Comments

A new study finds that diaphragm pacing (DP) stimulation in spinal cord-injured patients is successful not only in weaning patients from mechanical ventilators but also in bridging patients to independent respiration, where they could breathe on their own without the aid of a ventilator or stimulation...

Inside The First Scandal In Patient Safety

February 10, 2014 9:50 am | by Bob Wachter, M.D. | Blogs | 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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Uterine Surgical Technique Is Linked To Abnormal Growths And Cancer Spread

February 7, 2014 10:46 am | by Denise Grady | Articles | Comments

Concerns are increasing among doctors about the safety of a procedure performed on tens of thousands of women a year in the United States who undergo surgery to remove fibroid tumors from the uterus, or to remove the entire uterus...   

MatriStem Pelvic Floor Matrix

February 7, 2014 10:34 am | by ACell, Inc. | ACell, Inc. | Product Releases | Comments

ACell, Inc., announced that it has expanded the MatriStem Pelvic Floor Matrix product portfolio with the addition of four device sizes. The addition of four new sizes to the portfolio offers a broad range of viable solutions for physicians treating patients in need of pelvic floor repair.

Surgical Quality Alliance Releases Resource Document For Publicly Reporting Surgeons’ Performance On Surgical Quality Measures

February 6, 2014 11:16 am | News | Comments

The Surgical Quality Alliance (SQA), in conjunction with the American College of Surgeons (ACS), has released Surgery & Public Reporting: Recommendations for Issuing Public Reports on Surgical Care. This resource document is intended to provide organizations that publicly report on surgical quality measures with a better understanding of the considerations that must be made when reporting on these important aspects of surgical care...

New Tool Shows Promise In Helping Surgical Teams Predict Home Discharge For Their Patients

February 6, 2014 10:47 am | News | Comments

Research published in the February issue of the Journal of the American College of Surgeons shows that a new type of surgical risk calculator can accurately predict postoperative home discharge...         

New Assessment Tool Designed To Improve Care Provided At Hospitals

February 4, 2014 9:52 am | News | Comments

Published as "The Key Principles and Characteristics of an Effective HMG," the self-assessment tool is comprised of 47 different characteristics of effective hospital medicine groups (HMGs) sorted into ten different principles. It outlines characteristics like the development of an annual budget, care coordination across care settings, and "care that respects and responds to patient and family preferences, needs, and values..."

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Four Reasons Why Hospitals Can Be Very Dangerous Places To Be

February 4, 2014 9:32 am | by Robert Pearl, M.D. | Blogs | Comments

A hospital can be a very dangerous place to be. Here are four frightening risks hospitals pose, along with their causes and some easy-to-implement solutions that could save hundreds of thousands of lives each year...       

Risk Of Death When Waiting For A Heart Varies Widely

February 3, 2014 10:24 am | by Salynn Boyles | Articles | Comments

The risk of dying within 90 days of being placed on a heart transplant wait-list was 10 times greater for patients with the most risk factors compared with those with the fewest, suggesting a need for revising the current heart allocation system, researchers found...

What Is A High Risk Patient?

February 3, 2014 9:40 am | by Fred N. Pelzman, M.D. | Blogs | Comments

Under the current patient-centered medical home paradigm, being labeled a high-risk patient is an advantage. Lots of resources will be poured into your care. People will be calling you at home all the time, helping make sure you take your medicines, get your tests done, see your specialists, come back for follow-up. But who would want to be labeled high risk?

Automated System Could Efficiently Identify High-Risk Osteoporosis Patients

January 29, 2014 10:53 am | News | Comments

An automated system that identifies high-risk osteoporosis patients being treated for fractures and can generate letters encouraging follow-up is an effective way to promote osteoporosis intervention and prevent future fractures, according to Penn State College of Medicine researchers...

Research: Voice May Change After Rhinoplasty

January 29, 2014 10:41 am | News | Comments

Patients who have undergone plastic surgery to change the appearance of their nose may also notice changes in the sound of their voice, reports a study. Changes in voice after rhinoplasty are perceptible to patients as well as to experts, but generally don't cause problems with speech function, according to the new research...

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Good Outcomes With Staged Surgery For Epilepsy In Children

January 28, 2014 10:12 am | News | Comments

"Staged epilepsy surgery with invasive electrode monitoring is safe in children with poorly localized medically refractory epilepsy," write Drs. Jonathan Roth and Howard Weiner of NYU Langone Medical Center, New York City, New York. Their 13-year review suggests that complication rates decrease further as surgeons gain experience with staged epilepsy surgery...

Johns Hopkins Study: Traumatic Spinal Cord Injuries On The Rise In U.S.

January 28, 2014 9:55 am | News | Comments

The number of serious traumatic spinal cord injuries is on the rise in the United States, and the leading cause no longer appears to be motor vehicle crashes, but falls, new Johns Hopkins research suggests. The same research shows, moreover, that rates of these injuries are rising fastest among older people, suggesting that efforts to prevent falls in the elderly could significantly curb the number of spinal injuries...

E-Z Clean PRECISION Blade

January 27, 2014 10:04 am | by Megadyne Medical Products | Megadyne Medical Products | Product Releases | Comments

Megadyne Medical Products unveiled the new E-Z Clean PRECISION electrodes. The innovative design features a smaller blade width than standard electrosurgical tips allowing for reduced power settings and increased control to maneuver in small spaces, with minimal risk of collateral tissue damage. The EZ-Clean PRECISION Blades expand Megadyne’s offering of specialty electrodes for precise cases. The non-stick PTFE coating decreases eschar build-up, reducing smoke and allowing surgeons to achieve consistent cutting and coagulation.

New Guidelines For Healthcare Personnel Attire Are Short On Evidence

January 27, 2014 9:00 am | by Skeptical Scalpel | Blogs | Comments

If I could ask the well-meaning folks at the Society for Healthcare Epidemiology of America one question, it would be, "Why issue guidelines if you have no evidence to base them on?"              

Seattle Children's Hospital Investigated Over Dirty Instruments

January 24, 2014 9:49 am | by ABC News | Videos | Comments

Scopes used during colonoscopies were found to have been cleaned improperly at Seattle Children's Hospital. As a result of the oversight, approximately 100 children are at risk. Following an investigation by the hospital, a lapse in the facility's cleaning process was discovered...

Study Finds A Decline In Adverse Events For Heart Attack, Heart Failure Patients

January 24, 2014 9:28 am | News | Comments

Adverse events for patients being treated for heart attack and heart failure have declined, according to a new study. However, the analysis funded by the Agency for Healthcare Research and Quality (AHRQ) found that there has not been a significant decrease in adverse events for patients being treated for pneumonia and those who are recovering from surgery...

Big Changes To Heart Devices OK'd Without New Data

January 23, 2014 11:39 am | by Todd Neale | News | Comments

Many of the high-risk implantable cardiac devices in use today were approved through a supplement pathway that does not require new clinical data on the safety and effectiveness of changes made to the products since their original approval, a review of an agency database showed...

Robotic Surgical Incident Reporting Leads To More Questions Than Answers

January 22, 2014 10:40 am | by Mike Schmidt, Editor, Surgical Products | Blogs | Comments

Some questions simply lead to more questions. No questions lead to definitive answers without data and evidence leading the way. That thought came into my mind when I read a recent San Francisco Chronicle article about adverse-event reporting in healthcare, specifically as it relates to Intuitive Surgical’s da Vinci robotic surgery system...

Study: 'Icy' Technique Improves Robotic Kidney Transplants

January 22, 2014 10:04 am | News | Comments

A collaboration of surgeons at Henry Ford Hospital and Medanta Hospital in India successfully transplanted kidneys into 50 recipients using an innovative robot-assisted procedure in which the organ is cooled with sterile ice during the operation. The research project advances minimally invasive robotic surgery as a safe alternative to traditional open surgery...

Many CV Devices Approved By Process That Often Does Not Require New Clinical Data

January 22, 2014 10:00 am | News | Comments

Many cardiac implantable electronic device models currently in use were approved via a Food and Drug Administration review process in which the models were assumed safe and effective based on approval of prior versions of the device, according to a study...

Few Complications With Bedside Tracheotomy

January 21, 2014 10:14 am | by Ed Susman | News | Comments

Bedside percutaneous tracheotomy can be done in critically ill patients with a low risk of morbidity in the community hospital setting, researchers said here. Among 41 intensive care unit (ICU) patients who underwent the procedure, there was a 2 percent complication rate and no procedure-related death...

Study: Tonsillectomy Procedures Vary Depending On Hospital

January 21, 2014 9:43 am | by Michelle Castillo | Articles | Comments

Getting a tonsillectomy can vary depending on where you get the procedure done, a new study reveals. The research looked at 36 children’s hospitals that performed the procedure on almost 140,000 kids. They found that the facilities provided different levels of antibiotics and the steroid dexamethasone...

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