While there is an expectation that newer medical practices improve the standard of care, the history of medicine reveals many instances in which this has not been the case. A recent analysis documents 146 contemporary medical practices that have subsequently been reversed.
Federal legislation imposes financial penalties on hospitals that experience excessive patient readmissions within 30 days. A new study looks at the potential of a program designed to improve the discharge process and prevent avoidable rehospitalizations.
Telephone follow-up after ambulatory surgery proved acceptable to most patients, saved time and money, and was associated with few complications, investigators in a pilot program reported. Three-fourths of patients contacted by telephone after hernia repair or laparoscopic cholecystectomy accepted the contact as the sole means of follow-up.
Patients presenting as emergencies account for the majority of deaths associated with general surgery. There is increasing evidence that the quality of care for these high-risk patients is variable across hospitals within England's National Health Service, which is the country's publicly funded healthcare system. Such variability in care is likely to be reflected in differences in mortality rates among hospitals.
(2013 ESP Award Nominee) The SANDEL Count In Progress Beacon is nurse-developed and designed to reduce the risk of retained surgical items in the operating room. It helps notify the surgical team that a count is about to begin, and helps minimize distractions and unnecessary activity while the count is in progress.
(2013 ESP Award Nominee) Aspen Surgical is excited to announce the launch of its Bard-Parker Hands-Free Transfer Tray. The Transfer Tray provides surgeons and operating room staff with a method for organizing and passing surgical instruments in a more safe and effective way. It is optimized for easy hands-free transfer of sharp instruments.
Patients with prosthetic valve endocarditis (PVE) continue to have a high mortality risk that early surgical intervention does not reduce, results of a large multinational trial showed. An unadjusted analysis controlling only for treatment selection suggested a large benefit from early surgery. A fully adjusted analysis, however, showed no benefit of surgery versus medical therapy for in-hospital (HR 0.90) or 1-year mortality (HR 1.04).
The company said in a statement that the FDA wants more time to assess the drug, called sugammadex, following an agency inspection of one of the company's clinical trial sites. The site was one of four where Merck was studying allergic reactions to the drug.
If you need cardiac surgery in the future, aortic dissection in particular, reach for the moon. Or at least try to schedule your surgery around its cycle. According to a study at Rhode Island Hospital, acute aortic dissection (AAD) repair performed in the waning full moon appears to reduce the odds of death, and a full moon was associated with shorter length of stay (LOS).
Who is responsible for mistakes in healthcare? Who should take credit for success or blame for failure? Most families, patients and obviously the courts, hold the doctor responsible. It seems to me this is reasonable; it is the obligation physicians assume and which society returns with empowerment and respect. However, is this changing because of the Internet and big data?
A new study evaluating surgical outcomes at California hospitals enrolled in the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) found surgical patients at ACS NSQIP hospitals had significantly reduced mortality rates compared with non-ACS NSQIP hospitals.
In the first five years after valve replacement approximately 3-6 percent of patients will develop prosthetic valve endocarditis (PVE). These patients are much more likely to die. Now a large observational study — the first of its type — has found that surgery is no better than medical therapy in reducing mortality in these patients.
Patients do need the power to complain about bad doctors and, trust me, there are some bad doctors out there. That being said, the other way for patients to get some retribution is to stop seeing that doctor. Word of mouth will spread, like any other business, and that doctor’s business goes under.
The brutality of the procedure vividly illustrates the adage that surgery is barbarism with a purpose. But decompressive craniectomy also raises difficult questions regarding trade-offs between quantity and quality of life. Despite many successful recoveries, some remarkable, significant numbers of patients who receive the operation die, or are left profoundly disabled.
On June 10, 2013 a 32-year-old pregnant woman was reported to have died after having an ovary removed instead of her inflamed appendix. As the infected appendix festered, she became septic and succumbed to multiple organ failure. This tragedy occurred in the UK in late 2011, but has just come to light. How could this have happened?
Restricting work shifts for postgraduate year one residents to 16 hours appears to have reduced the operative experience of general surgery interns, researchers found. Compared with the four academic years before the change, the year immediately following the restriction saw significant declines in total operative cases, major cases, and first-assistant cases performed by the intern.
The lawsuits accuse the companies of inadequate testing, failing to disclose potential risks, and fraudulently promoting the mesh as a safe medical device. The manufacturers deny those allegations in court documents. Some companies have said in statements their testing was rigorous, that their products are safe and effective and that they're working with the Food and Drug Administration.
In his 20 years of practicing emergency medicine, Dr. David Newman says, he remembers every patient who has walked out of his hospital alive after receiving CPR. It's not because Newman has an extraordinary memory or because reviving a patient whose heart has stopped sticks in his mind more than other types of trauma. It's because the number of individuals who survive CPR is so small.
It was exactly midnight when Caroline Burns eerily opened her eyes and looked at the operating lights above her, shocking doctors who believed she was dead and were about to remove her organs and donate them to patients on the transplant waiting list.
Nothing more accurately and succinctly defines the prevalent issue of sharps safety than the fact which states that there has been no decrease in the injury rate in surgical settings since the passage of the Needlestick Prevention Act of 2000.
There are several products currently on the market that assist the physician and surgical staff with identification of failed instrumentation and prevention of stray current burns. Because this decision is of such great importance, the section below is meant to help you understand what is available to you as well as the pros and cons of each option.
What constitutes proper surgical prepping these days? What are some of the notable misconceptions out there regarding prepping that put hospitals at risk for welcoming surgical-site infections? Surgical Products recently spoke with two industry experts to discuss good prepping practices, key misconceptions, and the products that can help hospitals and other medical facilities in this area.
Colter Meinert and Jessica Danielson both spent months on the transplant waiting list at the Mayo Clinic in Rochester, Minn., one of the leading transplant centers in the world, and are on their way to recovery. For some, getting a new, healthy organ can happen overnight. For most, the wait is much longer. Sometimes it can take years.
For patients with advanced gastric cancer, treatment with chemotherapy after surgery can reduce the risk of cancer related death by 34 percent over five years compared to surgery alone, researchers said at the 15th ESMO World Congress in Gastrointestinal Cancer.
In a retrospective review of men diagnosed with prostate cancer between 2004 and 2009, the use of advanced technologies, such as intensity-modulated radiotherapy (IMRT), increased from 32 percent to 44 percent among those with low-risk disease (P<0.001) and from 36 percent to 57 percent among those with high risk of noncancer mortality.