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Adherence rates on six core Surgical Care Improvement Project (SCIP) measures improved annually between 2008 and 2012 by hospitals performing heart valve surgery. The research was performed at the University of Chicago. “SCIP is a national initiative to help improve surgical care by reducing surgical complications,” said Lisa Sun, MD, an investigator who is now […]
Read MoreAn audit of a hospital pharmacy’s drug accountability system uncovered a significant discrepancy rate with the anesthesia department of opioid and sedative use and emphasized the need for an electronic dispensing and auditing system. Opioid and sedative use in the operating room at the University of Oklahoma Medical Center (UOMC), Oklahoma City, is reconciled by […]
Read MoreMedicare beneficiaries have seen a substantial drop in wait times for hearings of appeals, according to a report from Market Watch. Last year, the Office of Medicare Hearings and Appeals announced appeals from individual beneficiaries would be prioritized, while appeals from hospitals and physicians would be put on hold for at least a couple years, […]
Read MoreAnesthesiologists are adjusting induction doses of fentanyl, propofol and midazolam in older patients to account for age, but the reduced doses nonetheless have a tendency to hover at the upper end of recommended limits for these often-fragile patients, leaving the door ajar to a host of potential complications. “It is well known that elderly patients […]
Read MorePublished in Ann R Coll Surg Engl. 2014 Sep;96(6):462-5 Authors: Fernandez MA1 et al INTRODUCTION: Postoperative urinary retention requiring urethral catheterisation increases the risk of joint sepsis following arthroplasty. Spinal anaesthesia with opiate administration is used widely in lower limb arthroplasty. We sought to establish whether the choice of opiate agent had any effect on […]
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