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In recent years, large outbreaks of hepatitis B virus and hepatitis C virus infections have occurred among patients in private medical practices, pain clinics, endoscopy clinics, and a hematology/oncology practice.
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Six years ago, The New England Journal of Medicine reported1,2 Moseley's study of the use of arthroscopy to treat knee osteoarthritis (OA).
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You don't have an electronic medical record (EMR) system implemented yet, and now there's talk of patients bringing you their personal electronic health records. Should you scramble to implement an EMR system, or continue to wait it out?
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So if you've decided to implement an electronic medical record (EMR), what is your first step? Do your homework, said Kenny Bozorgi, MD, CASC, chief operating officer, Magna Health Systems, Chicago. He also is a candidate for a master's degree in medical information from Northwestern University in Evanston, IL.
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When you adopt electronic medical records (EMRs), the biggest barrier will be resistance to change, said Melodee Moncrief, BSN, RN, CASC, administrator at Big Creek Surgery Center in Middleburg Heights, OH. Moncrief spoke on EMRs at this year's meeting of the Ambulatory Surgery Center (ASC) Association.
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According to How-to Guide: Improving Hand Hygiene, the Institute of Healthcare Improvement (IHI) says you should measure the percentage of patient encounters in which there is compliance by health care workers with all components of appropriate hand hygiene and glove practices.
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I have received so many phone calls and e-mails about the September column on the separation of inpatient and outpatient ORs that I thought a follow-up to some of your questions was necessary. Overall, the response was very favorable and positive.
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Just when one thought that minimally invasive surgery couldn't get any less intrusive, new technologies are discovered that are one step less invasive than the most recent advance.
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One thing the robot has not yet performed, but articulated handheld laparoscopic instruments have, is single port access (SPA) surgery in which three or four trocars are placed within a single opening in the abdomen, usually the umbilicus.
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As concern grows over antibiotic-resistant organisms, health care workers never have been under greater scrutiny for their compliance with hand hygiene.
