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All healthcare stakeholders are on the same page when it comes to using value-based payments, two leaders fromCigna said yesterday at the National Bundled Payment Summit in the District of Columbia. But insurers can’t have only one type of value-based program. Providers have different capabilities, ownership and risk tolerance, so payers must meet doctors where […]
Read MoreThis is for our followers who practice in the ICU. Authors: Jabre P et al., Intensive Care Med 2014 May 23; Grief, post-traumatic stress, and depression at 1 year were reduced when family members were permitted to witness resuscitation of loved ones. Despite data that suggest benefit to family members from allowing them to observe […]
Read MoreThere’s new evidence of the “weekend effect and it’s worth examining a phenomenon of why patients don’t want to get sick on a Saturday: The increased chance they’ll face complications. New research published this week from a Johns Hopkins Children’s Center team found simple emergency surgeries can be deadlier for kids on the weekends, raising […]
Read MoreAuthors: Donnino MW et al., BMJ 2014 May 20; 348:g3028 Inpatients who experience nonshockable cardiac arrest are more likely to survive when epinephrine is administered early. A large and increasing percentage of patients with cardiac arrests exhibit initial nonshockable rhythms (asystole or pulseless electrical activity [PEA]; 82% in 2009 vs. 69% in 2000; NEJM JW […]
Read MorePublished in Anesth Analg. 2014 May;118(5):981-6 Authors: Short TG et al., BACKGROUND: Deep general anesthesia has been associated with increased mortality in 5 observational studies. The association may be causal or an epiphenomenon due to increased anesthetic sensitivity in high-risk patients. We conducted a pilot study to assess the feasibility of performing a definitive randomized […]
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