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Edited by David G. Fairchild, MD, MPH, and Lorenzo Di Francesco, MD, FACP, FHM Delayed surgery for hip fracture is associated with elevated morbidity and mortality, a JAMA study finds. Using administrative databases in Ontario, researchers studied 42,000 adults who underwent hip fracture surgery in 72 hospitals. Only a third received early surgery — that is, within 24 hours […]
Read MoreAuthor: William T. Basco, Jr., MD, MS Delays in Appendectomy and Risk for Complicated Appendicitis Although appendicitis is among the more common surgical conditions of childhood, complicated appendicitis requires considerably more resources and intervention. Delays in seeking care can contribute to the risk of developing complicated appendicitis, but it’s less clear whether delayed surgical treatment […]
Read MoreBy Evan Sweeney | An Illinois district judge denied a motion by Draeger Inc. to dismiss a lawsuit from Rush University Medical Center alleging the company’s patient monitoring software was inaccurate and unreliable. Rush filed the claims against Draeger in August, explaining that the medical center spent an estimated $48 million installing and later replacing a system designed to […]
Read MoreAuhors: Camille Rolland-Debord, M.D. et Anesthesiology 12 2017, Vol.127, 989-997. Background: Patient–ventilator asynchrony is associated with a poorer outcome. The prevalence and severity of asynchrony during the early phase of weaning has never been specifically described. The authors’ first aim was to evaluate the prognosis impact and the factors associated with asynchrony. Their second aim was to […]
Read MorePatients with fibromyalgia who take opioids and consume caffeine have significantly lower pain interference, pain catastrophizing, less pain severity and depressive symptoms, and higher physical function than patients taking opioids who avoid caffeine. By Katie Estes, PhD Interviews with Ryan Scott, MPH, CPH and Don Goldenberg, MD. A reported 85% of American adults consume caffeine on […]
Read MoreBY BRUCE D. SOKLER AND FARRAH SHORT A physician organization has failed to sufficiently plead that a physician certification group caused an unreasonable restraint of trade through its actions to promulgate its certification program. Last week, a district court dismissed the case that centered on the defendant organization’s agreement with a hospital accreditation company to encourage the use […]
Read MoreAuthor: Mary Jane Kornacki, MS Amicus, Inc. Consider this brief exchange, and how a physician leader ought to respond: Chief of surgery at department meeting: “Our metrics around rehospitalization for the past half year haven’t gotten any better. The board quality committee asked some hard questions about medical staff plans to move the numbers, so that’s […]
Read MoreAuthors: Jason M. Slagle, Ph.D. et al Anesthesiology 1 2018, Vol.128, 44-54. Background: When workload is low, anesthesia providers may perform non–patient care activities of a clinical, educational, or personal nature. Data are limited on the incidence or impact of distractions on actual care. We examined the prevalence of self-initiated nonclinical distractions and their effects on anesthesia […]
Read MoreRecent Studies Reject Idea That Bouffant Caps Are Better At Preventing Infection Organizations representing surgeons, anesthesiologists and nurses will gather in early 2018 to review evidence on the controversial issue of operating room attire, after a series of recent studies showed bouffant caps do not appear to be associated with a reduced risk for surgical […]
Read MoreFor two years, Saint Anthony Hospital here has celebrated its top-rated “A” grade from the national Leapfrog Group that evaluates hospital safety records. But this fall, when executives opened a preview of their score, they got an unwelcome surprise: a “C.” Hospitals take their ratings seriously, despite hospital industry experts’ skepticism about their scientific methodology […]
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