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In states with fee schedules, ASCs are often more competitive than hospitals on price, though not always. Ambulatory surgery centers have new evidence to back up arguments for its relative cost-effectiveness. A new study from the Workers Compensation Research Institute comparing surgery payments for ambulatory centers and hospital outpatient centers has found that ambulatory centers […]
Read MoreThe more musculoskeletal pain sites an older person has, the lower their health-related quality of life (HRQoL), according to researchers. The findings were published June 12 in Rheumatology. Rosie Lacey, PhD, from the Research Institute for Primary Care and Health Sciences at Keele University in the United Kingdom, and colleagues said that although the relationship […]
Read MoreI thought this was interesting so I wanted to share it with our readers. According to the Commonwealth Fund, the U.S. spends the most on healthcare, but ranks last in quality While the United States pays the most for healthcare among all other developed nations, it also ranks last when it comes to the quality […]
Read MoreThe quickest way to improve your professional image and set a better example for your employees is to improve your communication skills. And the simplest way to improve your communication skills is to stop doing things that repeatedly get you in trouble. Bad communication habits are the punishment that keeps on giving even if you […]
Read MoreEdited by Jaye Elizabeth Hefner, MD For patients with shoulder impingement syndrome, physical therapy and corticosteroid injections offer similar relief, but injections lead to more healthcare utilization, according to an Annals of Internal Medicine study. Some 100 adults with unilateral shoulder impingement syndrome at one military medical center were randomized to receive either subacromial injection […]
Read MorePublished in J Clin Anesth. 2014 Jun;26(4):309-14. Authors: Yao Y et al STUDY OBJECTIVE: To determine the effects of dexmedetomidine premedication on the minimum alveolar concentration of sevoflurane for tracheal intubation (MACTI) in children. DESIGN: Prospective, randomized, clinical comparison study. SETTING: Operating room of an academic hospital. PATIENTS: 90 pediatric, ASA physical status 1 patients, […]
Read MorePublished in Digestion. 2014 Jun 4;89(4):247-252 Authors: Muller M et al Background/Aims: Insertion of a nasopharyngeal airway (NPA) during endoscopic sedation is only recommended in the event of respiratory problems. We evaluated the safety and efficacy of routine insertion of an NPA during sedation in gastrointestinal (GI) endoscopy. Methods: Between July 2009 and April 2012, […]
Read MorePublished in J Bone Joint Surg Am. 2014 Jun 4;96(11):e89 Authors: Lee D et al BACKGROUND: Opioids are commonly used for preoperative pain management in patients undergoing spine surgery. The objective of this investigation was to assess whether preoperative opioid use predicts worse self-reported outcomes in patients undergoing spine surgery. METHODS: Five hundred and eighty-three […]
Read MorePublished in Dig Liver Dis. 2014 Aug;46(8):710-5. doi: 10.1016/j.dld.2014.04.007 Authors: Tae CH et al BACKGROUND: The incidence, risk factors and management strategy of paradoxical reaction to midazolam during endoscopy are yet to be clarified. METHODS: This single center prospective study included 4140 adult patients (2263 males, mean age of 57.7±12.6) undergoing endoscopy under sedation with […]
Read MoreAuthors: Leonard J. Paulozzi, MD et al Background: Overprescribing of opioid pain relievers (OPR) can result in multiple adverse health outcomes, including fatal overdoses. Interstate variation in rates of prescribing OPR and other prescription drugs prone to abuse, such as benzodiazepines, might indicate areas where prescribing patterns need further evaluation. Methods: CDC analyzed a commercial […]
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