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By implementing protocols that restrict the use of erythropoietin-stimulating agents (ESAs), hospitals can successfully cut costs while maintaining an equivalent level of patient care, according to two recent studies. At St. John Hospital and Medical Center in Detroit, a policy that delayed ESA administration to certain patients decreased ESA purchases by more than $16,000 per […]
Read MorePublished in Br J Anaesth. 2014;112(5):784-787. Authors: S. Kozek-Langenecker, D. Fries, D. R. Spahn, K. Zacharowski A recent systematic review, ‘Fibrinogen concentrate in bleeding patients’, published by The Cochrane Collaboration, aimed to assess the benefits and harms of fibrinogen concentrate compared with placebo or other treatments in bleeding patients. We agree with the authors finding […]
Read MoreIn a period of rapid change, physician practices react differently to the resulting uncertainty. Hospitals seek to employ or otherwise “align” primary care physicians. They seek to control specialty referrals through employment models, accountable care organizations and other hospital-centric networks. And particularly for anesthesiologists, competitive pressure is mounting from large regional and national groups. Many […]
Read MorePreoperative medication compliance improved when patients were given a simple, standardized, multicolored medication instruction sheet combined with verbal instructions, according to an article published in the July issue of Anesthesiology. Failure to remember and comply with instructions can result in rescheduled same-day surgeries and longer hospital stays. Patients in the study were scheduled for general […]
Read MoreRates of infection secondary to CABG surgery varied widely across a 33-hospital consortium engaged in an adult cardiac-surgery quality initiative in Michigan[1]. The variation was less pronounced but still substantial after adjustment for comorbidities and other patient-related factors. Isolated pneumonia was overwhelmingly the most common CABG-related infection, seen in about 3% of the total population […]
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