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In a study of women who had just undergone caesarean delivery, those who wore binders reported less pain on the second postoperative day, although their use of ibuprofen on that day exceeded that of controls. “Abdominal binders have been shown to improve postoperative pain and distress following major abdominal surgery but their effect on caesarean […]
Read MoreA nerve block technique which avoids the femoral nerve results in the need for less morphine and a potentially speedier recovery for patients undergoing orthopaedic surgery, according to a study published in the June issue of the journal Anesthesia & Analgesia. For the study, 80 patients presenting for primary unilateral total knee arthroplasty were randomised […]
Read MoreThe Centers for Medicare & Medicaid Services accepted 89 percent of ICD-10 front-end test claims submitted by providers, suppliers, billing companies and clearinghouses in March, according to Niall Brennan, acting director of the agency’s Offices of Enterprise Management. Brennan, in a post to CMS.gov on Friday, said a total of 2,600 participants submitted more than […]
Read MoreAuthors: Minneci PC et al., J Am Coll Surg 2014 Apr 12; 218:905 The studies show that antibiotics are effective for uncomplicated appendicitis in adult and pediatric patients. Two studies offer additional evidence to support the nonoperative management of uncomplicated appendicitis. One study evaluated 230,000 California patients of all ages admitted between 1997 and 2008. […]
Read MoreGreat managers aren’t born, they’re made. And becoming a great manager requires honest self-analysis and periodic reassessments. The following checklist was designed to guide you in that analysis. Use it to take stock of your people skills. Be honest with yourself. Then, tuck it away and revisit it in six months. Ask yourself:Are you working […]
Read MorePublished in Dig Dis Sci. 2014 Apr 11 Authors: Jirapinyo P et al. BACKGROUND: Safety of conscious sedation for performing esophagoduodenoscopy (EGD) in obese and Roux-en-Y gastric bypass (RYGB) patients remains controversial. Additionally, it has been suggested that patients with higher body mass index (BMI) require higher sedation doses, imparting greater risk. […]
Read MorePublished in Am J Respir Crit Care Med. 2014 Apr Authors: Lonardo NW et al. Abstract Rationale: Mechanically ventilated ICU patients are frequently managed using a continuous infusion sedative. Though recent guidelines suggest avoiding benzodiazepines for sedation, this class of drugs is still widely employed. There are limited data comparing sedative agents in […]
Read MoreAuthors: Bot AG et al. BACKGROUND: In 2012, Medicare began to tie reimbursements to inpatient complications, unplanned readmissions, and patient satisfaction, including satisfaction with pain management. QUESTIONS/PURPOSES: We aimed to identify factors that correlate with (1) pain intensity during a 24-hour period after surgery; (2) less than complete satisfaction with pain control; (3) less […]
Read MoreI thought this would be an interesting article for our readers. Physicians are improperly coding Medicare claims, and it’s costing billions of dollars, USA Today reports. A new report found that in 2010, Medicare paid $6.7 billion in claims that weren’t coded correctly and lacked proper documentation, the report says. That billion-dollar figure accounts for […]
Read MoreThe problem may not be resolved until the end of 2014 or beginning of 2015 Back in January, U.S. hospitals began to experience a serious shortage of intravenous saline solutions, caused mainly by a spike in demand during the beginning of the 2013 flu season. Fast forward to May, and hospitals are still struggling with […]
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