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Quality Management and APMs Roseanne Fischoff, M.P.P.; Zach Hochstetler, M.P.P., M.B.A. ASA Monitor 06 2017, Vol.81, 22-23. By now you’ve heard of the sweeping changes undergoing Medicare payment as a result of the passage of the landmark Medicare Access and CHIP Reauthorization Act (MACRA) legislation. Passed in 2015, this legislation created the Quality Payment Program (QPP), which implemented […]
Read MoreOver a third of heater-cooler devices used in bypass surgery may be contaminated with Mycobacterium chimaera, potentially putting patients at risk, according to data presented at the conference of the Association for Professionals in Infection Control and Epidemiology. Researchers tested 650 water samples from 90 heater-cooler devices in hospitals around the country. Roughly 37% were positive […]
Read MoreAuthors: Tim D. Jorgenson, M.D. et al ASA Monitor 06 2017, Vol.81, 48-50. Blood transfusion is the most common invasive procedure performed in the United States.1 Studies have shown that augmenting the necessary consent discussions with simplified written materials can improve patient recall, comprehension and satisfaction.2 No standardized resources have been implemented, however. We suggest that a […]
Read MoreDrug overdose deaths have risen among whites. Drug overdose deaths have nearly tripled in the United States since 1999, with the largest increases seen for whites and middle-aged Americans, according to a February data brief published by the US Centers for Disease Control and Prevention’s National Center for Health Statistics.1 Holly Hedegaard, MD, of the […]
Read MoreBy targeting S1P1 pathway, researchers at Saint Louis University were able to show that the MS drug Gilenya mitigated bone pain and neuroinflammation in a mouse model. A key molecular pathway that drives cancer-related bone pain has been identified by researchers at Saint Louis University (SLU). The researchers observed that increases in sphingosine 1-phosphate are […]
Read MoreAuthors: Richard P. Dutton, M.D., M.B.A.; Teodora Orhideea Nicolescu, M.D., M.B.A.-H.C.M. ASA Monitor 06 2017, Vol.81, 12-15. The Medicare Access and CHIP Reauthorization Act (MACRA) was passed in April 2015 with the bipartisan support of Congress.MACRA replaces the unpopular Sustainable Growth Rate formula for adjustment of Medicare payments to physicians. MACRA is intended to accelerate the transition […]
Read MoreAuthors: Karen B. Domino, M.D., M.P.H. et al ASA Monitor 06 2017, Vol.81, 8-10. Karen B. Domino, M.D., M.P.H., is Professor and Vice Chair for Clinical Research, Department of Anesthesiology and Pain Medicine, University of Washington School of Medicine, Seattle. Michael B. Simon, M.D., M.B.A., is Chairman, Department of Anesthesiology, Osceola Regional Medical Center, Kissimmee, Florida and […]
Read MoreAuthors: Yasamin Sharifzadeh, B.S. et al Anesthesiology 7 2017, Vol.127, 136-146. Background: Pain catastrophizing is a maladaptive response to pain that amplifies chronic pain intensity and distress. Few studies have examined how pain catastrophizing relates to opioid prescription in outpatients with chronic pain. Methods: The authors conducted a retrospective observational study of the relationships between opioid prescription, pain […]
Read MoreASA Monitor 06 2017, Vol.81, 44-45. Review of unusual patient care experiences is a cornerstone of medical education. Each month, the AQI-AIRS Steering Committee abstracts a patient history submitted to the Anesthesia Incident Reporting System (AIRS) and authors a discussion of the safety and human factors challenges involved. Real-life case histories often include multiple clinical decisions, […]
Read MoreAuthors: Kurt Ruetzler, M.D. et al Anesthesiology published on June 8, 2017. Introduction: Supraglottic airway devices commonly are used for securing the airway during general anesthesia. Occasionally, intubation with an endotracheal tube through a supraglottic airway is indicated. Reported success rates for blind intubation range from 15 to 97%. The authors thus investigated as their primary outcome […]
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