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Uncategorized Published - 6 March, 2018    By - Dr Clemens
Concern About the Use of Very Low Flow Sevoflurane Anesthesia

Anesthesia Patient Safety Foundation March 2018 Letter to the Editor: To the Editor: I read with interest the article entitled “Low Flow and CO2 Absorbents” (APSF Newsletter October 2017, p.50). I was surprised to see a photograph of the flow meters of an anesthesia machine reading 0.2 liters per minute of oxygen and 0.2 liters per minute […]

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Uncategorized Published - 6 March, 2018    By - Dr Clemens
Multimodal Approach to Pain Management Reduces Opioid Use, Prescriptions After Joint Replacement Using multiple methods to manage pain also reduces complications

Article ID: 690340 Released: 1-Mar-2018 10:30 AM EST Source Newsroom: American Society of Anesthesiologists (ASA) A multimodal approach to pain management (using two or more different methods or medications to manage pain) rather than using opioids alone was associated with a decrease in opioid use, opioid prescriptions and common opioid-related complications in patients undergoing total hip or knee […]

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Uncategorized Published - 6 March, 2018    By - Dr Clemens
We won’t get valued based health care until we agree on what value means

Author: Robert C. Pendleton, MD FEBRUARY 27, 2018 Harvard Business Review Some health care leaders view with trepidation the new, disruptive health care alliance formed by Amazon, Berkshire Hathaway, and JPMorgan Chase. But I’m excited because disruption is all about delivering a new level of value for consumers. If this trio can disrupt the United […]

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Uncategorized Published - 6 March, 2018    By - Dr Clemens
Hospitals account for one-third of healthcare data breaches, affect the most individuals

By Cara Livernois Of all types of healthcare providers, hospitals accounted for one-third of all data breaches and affected the largest number of individuals compared to doctors, nurses and social workers, according to a study published in The American Journal of Managed Care. The healthcare industry has been the primary source of high-level ransomware and malware […]

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Uncategorized Published - 5 March, 2018    By - Dr Clemens
Flip-Flops and Spinal Catheters

Anesthesia Patient Safety Foundation March 2018 To the Editor: Since the Second World War, flip-flops have become an increasingly popular footwear in the United States. Nevertheless, most would agree that their wear is not appropriate in every situation and opinion might differ on what is unacceptable, acceptable, or even desired. Flips-flops at the communal pool […]

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Uncategorized Published - 5 March, 2018    By - Dr Clemens
Medication Safety Alerts for Anesthesia Professionals

Anesthesia Patient Safety Foundation March 2018 Author: Ronald S. Litman, DO The Institute for Safe Medication Practices (ismp.org) receives reports of medication safety issues from health care providers and regulatory agencies worldwide. Two recent reports from the latter half of 2017 will be discussed here as they are pertinent to anesthesia professional practices. The first […]

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Uncategorized Published - 5 March, 2018    By - Dr Clemens
Use of Methadone in the Perioperative Period

Anesthesia Patient Safety Foundation March 2018 Authors: Glenn Murphy, MD, and Joseph Szokol MD, JD, MBA Methadone, a drug that was initially developed in 1946, has a number of unique properties compared with other opioid analgesics, which give it an increasing role in the perioperative period. It has been one of the most extensively studied […]

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Uncategorized Published - 5 March, 2018    By - Dr Clemens
Airway Topicalization Atomizer Parts Break Off in Patient’s Airway

Anesthesia Patient Safety Foundation March 2018 Dear SIRS: Topical anesthesia of the upper airway for awake intubation is often accomplished by spraying local anesthetics through an atomizer.1 In our institute, we routinely utilize EZ-SprayTM (Alcove Medical Inc., Saratoga Springs, UT). Here we report an event in which the nozzle part of the EZ-SprayTM unexpectedly broke off during […]

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Uncategorized Published - 5 March, 2018    By - Dr Clemens
JAMA: EHRs fail to reduce administrative billing costs

While EHRs were implemented with the idea that they would reduce administrative costs, Harvard and Duke researchers found primary care services cost providers about $100,000 annually. By Jessica Davis No evidence was found that EHR systems reduced billing costs related to physician services the studies found. One of the core reasons the federal government made its push […]

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Uncategorized Published - 2 March, 2018    By - Dr Clemens
HCA-Infections: Can the Anesthesia Provider be at Fault?

Anesthesia Patient Safety Foundation March 2018 Authors: Richard C. Prielipp, MD, MBA, and David J. Birnbach, MD, MPH Richard C. Prielipp, MD, MBA, FCCM, professor of Anesthesiology at the University of Minnesota, introduced this provocative and timely topic on October 21, 2017, at the ASA Annual Meeting by noting that two million hospitalized patients develop […]

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