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Sunshine Act Unveils Physician Gifts, Etc.

July 10, 2014 7:12 am | by Matthew Perrone, AP Health Writer | Articles | Comments

Nearly 95 percent of U.S. physicians accept gifts, meals, payments, travel and other services from companies that make drugs and medical products. Starting in September the federal government will make available an exhaustive online database of payments to U.S. physicians and hospitals, under a section of the health care overhaul known as the Sunshine Act.

Minimally Invasive Heart Stents Prove Safer

July 10, 2014 6:51 am | News | Comments

The study documents the benefits within the context of more than a dozen formally tracked patient safety indicators that help monitor and prevent avoidable complications. These PSIs include wound infection, sepsis, hip fracture, accidental puncture or laceration, transfusion reaction and mortality among patients diagnosed as low-risk.

Delaying ACL Surgery Could Be Detrimental For Younger Athletes

July 10, 2014 6:41 am | News | Comments

"Patients who had surgery 6-12 weeks after ACL injury had 1.45 greater odds of lateral meniscus injury, and those waiting 3+ months increased their risk 2.82 times. The risk for medial meniscal tears was 4.3 times greater when delaying surgery at least 6 weeks."

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VA Apologizes To Whistleblowers Facing Retaliation

July 9, 2014 8:03 am | by Matthew Daly, AP | Blogs | Comments

James Tuchschmidt, the No. 2 official at the Veterans Health Administration, apologized on behalf of the department. "I apologize to everyone whose voice has been stifled. That's not what I stand for. I'm very disillusioned and sickened by all of this."

Hand Hygiene Improves 3X When Auditors Are Present

July 9, 2014 7:50 am | Articles | Comments

The study examined the Hawthorne effect, also known as observation bias (the tendency of people to change their behavior when they are aware of an observer) using an electronic monitoring hand hygiene system in real-time. Ultrasound "tags" on soap dispensers transmitted a signal to a nearby receiver each time the levers were pushed, and a time-stamped hand hygiene wash was recorded.

AIDS Research Team Loses $1.38 Million After Faking Results

July 9, 2014 7:37 am | by David Pitt, AP | News | Comments

The team, which consists of 10 researchers, has sufficient funding to continue its work, but experts at federal agencies have stated that it can take two to five years to recover from the negative perceptions created by a misconduct incident. The team's lead researcher was not aware of faked lab work.

Benefit To Removing Gall Bladder For Suspected Common Duct Stone

July 8, 2014 7:38 pm | News | Comments

Among patients with possible common duct stones, removal of the gall bladder, compared with endoscopic assessment of the common duct followed by gall bladder removal, resulted in a shorter length of hospital stay without increased illness and fewer common duct examinations.

MIS Underused Despite Lower Complication Rates

July 8, 2014 7:32 pm | News | Comments

Minimally invasive surgery has been associated with better outcomes than open surgery, including fewer surgical site infections, less pain and shorter hospital stays. However, analysis shows that some hospitals capable of performing minimally invasive surgery aren't providing it as often as they could.

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Study Targets Impact Of Health Insurance Expansion on Surgery

July 8, 2014 12:53 pm | News | Comments

Insurance expansion was associated with a 9.3 percent increase in discretionary surgery in Massachusetts and a 4.5 percent decrease in non-discretionary surgery. Authors estimate the ACA could yield an additional 465,934 discretionary surgical procedures by 2017.

Pace Of Surgical Innovation Concerns Some Surgeons

July 8, 2014 12:44 pm | Articles | Comments

In 2005, patients were twice as likely to experience an adverse event if they were undergoing minimally invasive robotic prostatectomies compared to a traditional open surgical procedure. The following year was considered the tipping point for the adoption of MIRP when it equaled or exceeded 10 percent of all cases.

Partial Knee Replacements Safer, But Require More Follow-Up

July 8, 2014 11:14 am | News | Comments

Because of the higher revision rate of partial knee replacement surgery, which is traditionally regarded as the most important factor to determine the choice of implant, its use in the treatment of end-stage osteoarthritis is controversial, with only about 7,000 being performed annually.

No Practicing On Patients: New Docs Get Boot Camp

July 7, 2014 9:51 am | by Lindsey Tanner, AP Medical Writer | News | Comments

First-day jitters come with any new job but when the work involves pushing needles into strangers' bellies, stitching up gaping wounds or even delivering babies, that debut can be especially nerve-wracking — for everyone involved...      

OB VTE Safety Checklist Recommendations Well-Received At NPSF Congress

July 1, 2014 10:56 am | by Physician-Patient Alliance for Health & Safety | News | Comments

The Physician-Patient Alliance for Health and Safety (PPAHS) joined hundreds of other impassioned attendees in Orlando, Florida to attend the 16th Annual NPSF Patient Safety Class from May 14 through May 16, 2014...            

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Study: Low Hand Hygiene Compliance During Anesthesia Administration

July 1, 2014 9:01 am | by Elsevier Health Sciences | News | Comments

Anesthesia providers are missing opportunities to clean their hands during surgical procedures, according to a study published in the July issue of the American Journal of Infection Control, the official publication of the Association for Professionals in Infection Control and Epidemiology...

Edwards Receives FDA Clearance For Advanced Noninvasive Monitoring System

June 30, 2014 10:37 am | by Edwards Lifesciences Corporation | News | Comments

Edwards Lifesciences Corporation, the global leader in the science of heart valves and hemodynamic monitoring, today announced it has received U.S. Food and Drug Administration (FDA) clearance for the ClearSight system...         

Another Dancing Breast Cancer Surgery Patient

June 27, 2014 12:16 pm | Videos | Comments

Doreta Norris, 52, was diagnosed with breast cancer in November 2013. While at the airport to visit her mother-in-law, Norris saw video of a woman dancing in the operating room before a double mastectomy. That video inspired Norris to dance her cancer away as well. Norris danced with doctors and nurses to "Gangham Style" as she made her way to the operating room

ER Patient Attempts To Smuggle Medical Supplies

June 27, 2014 11:12 am | News | Comments

A 60-year-old man treated in the emergency room is suspected of trying to walk out with bed sheets, latex gloves, a bloody syringe, oxygen tubing, towels, washcloths, medical wrap, pulse oximeters, alcohol wipes and 15 packages of lubricant. He was confronted by hospital security before the police were called.

New Pain Relief Drug Could Reduce Consumption, Costs & Recovery Times

June 27, 2014 11:03 am | News | Comments

Pacira Pharmaceuticals recently announced results designed to compare post-surgical narcotic use and outcomes associated with EXPAREL (bupivacaine liposome injectable suspension) as the foundation of a multi-modal analgesic regimen, versus a standard opioid-based pain management regimen.

Early Surgical Follow-Up Can Cut Hospital Readmissions

June 26, 2014 8:59 am | by University of Utah Health Sciences | News | Comments

Patients who have post-operative complications following high-risk surgery have a significantly lower risk of being readmitted to the hospital within 30 days if they go see their primary care physician soon following discharge, a new study in JAMA Surgery shows...

Safe And Sound

June 24, 2014 11:23 am | by Mike Schmidt, Editor, Surgical Products | Articles | Comments

It's impossible to provide quality care to patients if hospitals fail to provide a safe environment for their caregivers. That’s what Kent Wilson tells hospital administrators who voice a desire to improve patient and staff safety, increase efficiency, and prevent unnecessary injuries through more effective patient handling practices...

Do Operating Room Checklists Improve Outcomes?

June 23, 2014 11:51 am | by Skeptical Scalpel | Blogs | Comments

I am not against checklists. When I was a surgical chairman, I implemented and used one in both the operating room and the ICU. They do not add costs and may be helpful. But do they improve outcomes?            

Beta-Blockers Before Coronary Artery Bypass Grafting Surgery Not Associated With Better Outcomes

June 19, 2014 9:35 am | by The JAMA Network Journals | News | Comments

Use of beta (β)-blockers in patients who have not had a recent heart attack but were undergoing nonemergency coronary artery bypass grafting (CABG) surgery was not associated with better outcomes...                               

Mammograms May Cut Breast Cancer Deaths By 28 Percent

June 18, 2014 10:55 am | by Maria Cheng, AP Medical Writer | News | Comments

In the latest major study to consider whether the dangers of mammograms outweigh the benefits, experts say the tests can reduce the chances of dying from breast cancer by nearly 30 percent and that national screening programs should continue. The debate over the value of mammograms has raged in recent years...

Anonymous Peer Feedback Through Social Networking Helped Residents Improve Their Skills

June 18, 2014 9:33 am | by University of California - Los Angeles Health Sciences | News | Comments

Surgical residents who received anonymous feedback from their peers through a social networking site on their robotic surgery skills improved more than those who did not receive any peer feedback on their procedures, UCLA researchers found...    

Surgical Patients More Likely To Follow Medication Instructions

June 17, 2014 9:27 am | by American Society of Anesthesiologists | News | Comments

A study in the July issue of Anesthesiology revealed that patients who receive a simple, multicolor, standardized medication instruction sheet before surgery are more likely to comply with their physician's instructions and experience a significantly shorter post-op stay in recovery...

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