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Physician practices are spending nearly 33 days per year, at a cost of $15.4 billion annually, reporting quality measures, a new survey suggests. The survey, which was published in the March issue of Health Affairs, analyzed the number of hours physician practices spend per week on reporting quality measures for Medicare, Medicaid and other entities (2016;35:401-406). […]
Read MoreRetained surgical instruments occur once in every 5,500 surgeries, and almost 70 percent of the items left behind are sponges, device maker says. While surgical screws or sponges can cost a hospital less than a penny each, when a surgeon accentially leaves one of these behind in a patient’s body the mistake can cost both […]
Read MoreWorkplace violence against healthcare workers is rampant, but solutions remain unclear, largely as a result of underrecognition and underreporting of the problem and poor-quality research, according to a review article published in the April 28 issue of the New England Journal of Medicine. The article stems from the tragic death of a surgeon at Brigham and Women’s Hospital […]
Read MoreI thought this was interesting so I wanted to share it with our readers. Repeated administration of ketamine may help sustain the antidepressant effect in patients with treatment-resistant depression beyond the initial dose, a new study shows. Ketamine, an injectable anesthetic, has demonstrated a rapid antidepressant effect. But the effect is relatively short-lived, and how […]
Read MoreAuthors: SM Brown FRCA; JR Sneyd FRCA BJA Education. 2016;16(3):87-91. Introduction Nitrous oxide (N2O) was first isolated by Joseph Priestly in 1772 and subsequently recognized for its analgesic properties by Humphrey Davy in 1799. Davy has actually invented a new pleasure, for which language has no name. Oh Tom! I am going for more this evening; […]
Read MoreAnesthesia & Analgesia: June 2016 – Volume 122 – Issue 6 – p 1841–1855 AUTHORS: Epstein, Richard H. MD et al BACKGROUND: Accurate accounting of controlled drug transactions by inpatient hospital pharmacies is a requirement in the United States under the Controlled Substances Act. At many hospitals, manual distribution of controlled substances from pharmacies is […]
Read MoreThe number of infections from contaminated duodenoscopes is much higher than previously reported, according to a congressional investigation. The FDA recently revealed after a yearlong investigation that as many as 350 patients at 41 facilities in the United States and overseas have been infected by tainted scopes between Jan. 1, 2010, and Oct. 31, 2015. […]
Read MoreAnesthesia & Analgesia: June 2016 – Volume 122 – Issue 6 – p 1856–1865 AUTHORS: Kulcke, Axel PhD et al BACKGROUND: Pulse spectroscopy is a new noninvasive technology involving hundreds of wavelengths of visible and infrared light, enabling the simultaneous quantitation of multiple types of normal and dysfunctional hemoglobin. We evaluated the accuracy of a […]
Read MoreAnesthesia & Analgesia: April 22, 2016 AUTHORS: Kim, Minjae MD, MS et al BACKGROUND: Perioperative risk stratification is often performed using individual risk factors without consideration of the syndemic of these risk factors. We used latent class analysis (LCA) to identify the classes of comorbidities and risk factors associated with perioperative mortality in patients presenting […]
Read MoreAnesthesia & Analgesia: April 22, 2016 AUTHORS: Van Waes, Judith A. R. MD et al BACKGROUND: To evaluate the role of routine troponin surveillance in patients undergoing major noncardiac surgery, unblinded screening with cardiac consultation per protocol was implemented at a tertiary care center. In this study, we evaluated 1-year mortality, causes of death, and […]
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