Dr. Peter Ubel has been writing a bit lately on the need for healthcare providers to talk with their patients about healthcare costs, if for no other reason than to enable patients to determine whether they can afford to pay for the healthcare that their doctors are recommending them to receive...
Placement of a percutaneous endoscopic gastrostomy tube has become an essential technique for children and young people with a wide range of problems with feeding and nutrition...
Blood clots occur so rarely in children undergoing spine operations that most patients require nothing more than vigilant monitoring after surgery and should be spared risky and costly anti-clotting medications, according to a new Johns Hopkins Children's Center study...
A Canadian boy's lemonade stand and social media campaign has raised $24,000 for a friend's surgery related to cerebral palsey in the U.S.
Vasectomy was associated with a small increased risk of prostate cancer, and a stronger risk for advanced or lethal prostate cancer, according to a new study from Harvard School of Public Health (HSPH). The researchers found that the association remained even among men who received regular PSA screening, suggesting the increased risk of lethal cancer cannot be explained by diagnostic bias.
"... those patients who had an allograft, failed at a rate more than three times higher than those reconstructed with an autograft. This study was also of only one type of allograft (Tibialis Posterior). Therefore, we can make a strong statement about that type and not necessarily extrapolate to other types of allografts, most notably those with bone, i.e. BTB or Achilles."
According to the complaint, the Greek surgeon demanded $2,000 to perform bypass surgery, allegedly threatening to release the patient if the money was not paid. Police said a relative met with the doctor and handed him marked bills, after which plain-clothes police officers arrested the doctor.
The Department of Veterans Affairs has appointed a top health administrator to serve as interim director of its Office of Medical Inspector. The inspector's office came under scrutiny last month after an independent investigator issued a scathing report, saying the office downplayed whistleblower complaints outlining serious problems.
The funds followed a federal agreement in April for New York to reinvest $8 billion in Medicaid savings to support hospital overhauls and expand primary medical care over five years. The goal is to reduce avoidable hospital use by 25 percent while helping financially struggling institutions shift to more primary and outpatient care.
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.
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.
"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."
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."
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.
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.
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.
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.
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.
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.
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.
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...
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...
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 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...
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