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The recent action by the Florida Board of Medicine to restrict liposuction and abdominoplasty procedures in an office setting may call the safety of liposuction into question. However, the latest liposuction study reports a complication rate of only 3% for 331 cases performed in office-based settings included in the study, according to the Accreditation Association for Ambulatory Health Cares Institute for Quality Improvement (IQI) in Wilmette, IL.
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Although technological advances are responsible for the movement of many surgical procedures from the inpatient to the outpatient setting, sometimes the switch relies more upon the surgeons technique rather than the actual equipment.
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What happens in your emergency department (ED) when a patient shows up complaining that he still has that terrible headache you sent him home with six hours ago? Do staff label him a whiner and send him back out the door with some Tylenol?
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If your hospital isnt using case management software that is integrated with the rest of the hospitals information systems, you may be behind the curve, asserts Vicky Mahn-DiNicola, RN, MS, vice president of ACS Healthcare Solutions, a Tucson, AZ-based health care technology firm.
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Florida surgeons cannot perform liposuction and abdominoplasty procedures on the same patient within 14 days of each other as a result of a 90-day moratorium imposed by the Florida Board of Medicine on Feb. 11, 2004.
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Major advances in reducing sharps injuries have not yet pervaded the OR, where one out of four sharps injuries takes place, but there are some simple steps that same-day surgery managers can take to promote safety, sharps safety experts say.
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I have had several individuals contact me regarding a past article in which I mentioned that the service that administrators find the most difficult to work with is anesthesia. Since I wrote that article, I have tried to understand from where the problems arise. After further conversations with the original group and others, especially anesthesia personnel, it appears that many of the problems same-day surgery programs are having result from poor communication.
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In this second part of a two-part series on new technology, we discuss how to handle credentialing in this story and how to respond to errors.
