Same-Day Surgery
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Administering lorazepam for patients receiving general anesthesia questioned
Although sedatives often are administered before surgery, a randomized trial finds that among patients undergoing elective surgery under general anesthesia, receiving the sedative lorazepam before surgery, compared with placebo or no premedication, did not improve the self-reported patient experience the day after surgery, but was associated with longer time until extubation and a lower rate of early cognitive recovery, according to a study published in the March 3 issue of The Journal of the American Medical Association.
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Can you offer total hips and knees in 23 hours? Yes!
Start posting patients for hip replacements and send them home in less than 24 hours directly from your surgery center. No 72-hour-stay facility is needed.
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Day surgery patients registered at the bedside
At Children’s Healthcare of Atlanta at Egleston, patient access recently switched to bedside registration at the hospital’s 30-room day surgery department.
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Evidence of economic burden of disparate care for minorities continues to grow
A recent tragic case involving informed consent obtained from parents with limited English proficiency led to a successful lawsuit against the hospital. Eliminating health disparities for minorities would have reduced direct medical care expenditures by $229.4 billion for the years 2003-2006, according to a 2011 study. “If we don’t get a handle on health disparities, the implications are far bigger than social justice,” says LaVeist, the study’s lead author.
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System made changes to stop ‘no authorizations’
Methodist Le Bonheur Healthcare made changes to prevent clinically related denials.
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Culturing protocols devised for duodenoscopes to prevent CRE
Responding to a series of outbreaks of carbapenem-resistant Enterobacteriaceae (CRE) linked to duodenoscopes, the Centers for Disease Control and Prevention has developed an interim protocol for culturing the devices before use to create a greater margin of safety for patients. But as others have noted, the approach is not foolproof and could be costly if facilities determine that they must purchase more scopes to adopt the protocol.
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ASCA: New quality measures are likely
The Measure Applications Partnership has issued a draft recommendation supporting two additional measures in the Ambulatory Surgery Center Quality Reporting Program. The Partnership guides the Centers for Medicare & Medicaid Services (CMS) on performance measures.
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CMS addresses lower relative humidity in ORs
The Centers for Medicare and Medicaid Services (CMS) has provided information on operating room (OR) relative humidity (RH) for ambulatory surgery centers (ASCs) and supplemental information for hospitals and critical access hospitals (CAHs) using the categorical waiver of Life Safety Code (LSC) Anesthetizing Location RH Requirements.
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FDA says to inform patients about risk of endoscopy linked to CRE infections
ERCP (endoscopic retrograde cholangiopancreatography), an upper endoscopy procedure performed on some half a million U.S. patients annually, poses a risk of transmission of practically untreatable carbapenem-resistant Enterobacteriaceae (CRE).
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Smaller outpatient facilities struggle to achieve regulatory compliance with HIPAA
An outpatient surgery facility gives a research organization a patient’s protected health information (PHI) for recruitment, but it didn’t have the patient’s authorization or a signed waiver of authorization approved by the Institutional Review Board or privacy board.