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Experts give hospital rating systems low grades
August 15, 2019 — Editor’s Note In this study, experts graded the four major publicly reported hospital quality rating systems on their strengths and weaknesses−most received a C and the highest was a B. The grades were: US News & World Report−B Medicare & Medicaid Services’ Star Ratings−C Leapfrog−C- Healthgrades−D+. The researchers found that each rating system had weaknesses […]
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Joint Commission releases new sentinel event stats
August 15, 2019 — Editor’s Note The Joint Commission on August 14 released new sentinel event statistics for the first half of 2019. The latest data also introduce new categories for describing sentinel events, including suicide-related events, surgical or invasive procedure events, anesthesia-related events, and product or device events. The top five most frequently reported in the first half […]
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Statewide initiative reduces postop opioid prescribing without increase in patient pain
August 15, 2019 — Editor’s Note Implementation of opioid prescribing guidelines in the state of Michigan reduced opioid prescription size without negatively affecting patient satisfaction or pain, this study finds. In 1 year, teams at 43 hospitals across the state reduced by nearly one-third the number of opioid pills they prescribed to patients (having nine common surgical procedures) from […]
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Joint Commission refines requirements for practitioner credentialing, privileging, and evaluation
August 15, 2019 — Editor’s Note The Joint Commission announced on August 14 that accredited hospitals and critical access hospitals will be able to supplement local data with data acquired from Medicare-certified hospitals and critical access hospitals for the purposes of practitioner credentialing, privileging, and evaluation (focused and ongoing). The supplemental data may not be used in lieu of […]
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Hospital revisits have increased since implementation of HRRP
August 14, 2019 — Editor’s Note Hospital revisits (ie, treat-and-discharge visits to ED, observation stays, or inpatient readmissions) within 30 days of discharge have increased since implementation of the Hospital Readmission Reduction Program (HRRP), this study finds. Though hospital readmissions have dropped since HRRP was implemented as part of the Affordable Care Act, there has been an increase in […]
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AI, machine learning help unlock health data at Michigan Medicine
August 14, 2019 — Editor’s Note The University of Michigan’s health system has 34 artificial intelligence (AI) and machine learning research projects underway, 28 of which have principal investigators, the August 12 Health Data Management reports. Projects include analyzing electronic health records (EHRs), ECG monitor data, and analytics to predict acute hemodynamic instability and using machine learning to predict […]
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Study links cancer center affiliation to lower postop mortality
August 8, 2019 — Editor’s Note Patients who had complex surgical procedures for cancer at community hospitals that were affiliated with top-ranked cancer hospitals were less likely to die within 90 days after surgery than patients treated at nonaffiliated hospitals, this study finds. Data for more than 14,000 Medicare patients showed 90-day mortality after complex cancer surgery was 9% […]
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Effect of oscillation and lung expansion on postop pulmonary complications
August 5, 2019 — Editor’s Note In this study, aggressive pulmonary treatment after surgery with oscillation and lung expansion (OLE) reduced the rate of postoperative pulmonary complications in high-risk patients having open thoracic, aortic, or upper abdominal surgery. A total of 419 patients (209 with OLE treatment and 210 without) were included in the analysis. Treatment with OLE decreased: […]
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