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Study: Background noise in OR can impair surgical team
Ambient background noise — whether it is the sound of loud surgical equipment, talkative team members or music — is a patient and surgical safety factor that can affect auditory processing among surgeons and the members of their team in the operating room, according to a new study in the May issue of the Journal of the American College of Surgeons.
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Comparing surgical procedures for spinal stenosis
HealthDay News via Doctors Lounge
For patients with spinal stenosis undergoing surgery, an interspinous process with spacer alone is associated with fewer complications but higher rates of revision surgery compared with decompression or fusion, according to a study published in the May 1 issue of Spine.
Critical C's of surgical safety: Confirm before you cut
American Academy of Orthopaedic Surgeons
Six critical components of surgical safety have been identified by Calvin C. Kuo, MD, and William J. Robb III, MD. These "Critical C's of Surgical Safety" can minimize surgical harm.
Office-based surgery makes for a better plastic surgeon — there's proof!
A new book cites a study from the journal Management Science that showed two surgeons achieved better outcomes when they worked in operating rooms where they felt comfortable, with surgical teams familiar to them — regardless of the number of times they had performed a procedure. And so it goes with plastic surgeons who have their own office-based surgery suite.
AMBULATORY SURGICAL CENTERS
6 actions for best-in-class surgical services
Becker's ASC Review
At the Becker's Hospital Review Annual Meeting in Chicago May 9, Jeff Peters, president and CEO of Surgical Directions, shared actions to develop top-of-the-line surgical services. Successful healthcare organizations follow a five-step process when developing a perioperative strategy, according to Peters.
Vermont passes 'aid in dying' measure
The New York Times
Vermont will become the fourth state to make it legal for a physician to prescribe lethal medication to a terminally ill, mentally competent patient who wants to end his life. It has also become the first state to approve the practice through legislation, instead of via a public referendum (as in Oregon and Washington) or a court decision (in Montana).
South Carolina: Commission adjusts fee schedule for surgery centers
Risk & Insurance
The South Carolina Workers' Compensation Commission approved amending the fee schedule for ambulatory surgery centers to support a cost for certain surgically implanted devices. The maximum allowable payment for procedures performed in an ambulatory surgery center will be calculated at 140 percent of the Medicare payment for procedures, plus the total cost of all surgical implants per case with certain revenue codes, minus a $500 implant cost reduction per case.
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Extending patient care through meaningful use of EHR, HIE
Since the passage of the HITECH Act, REC or "regional extension center" has meant much to small clinics as a resource to facilitate the adoption and implementation of certified EHR technology for meaningful use. But with the adoption and use of EHR well underway across the country, there is a new meaning of REC emerging that has more to do with the patient experience than it does with qualifying for meaningful use incentives.
Telehealth and standards of care
Epstein Becker Green
While telehealth technology advances, unresolved legal issues continue to deter wider adoption of telehealth as a means of delivering health care services. One issue that telehealth providers must consider is the standard of care that applies in telehealth encounters.
Telemedicine: Retail health clinics' newest tool
Once a way for people in rural areas to access medical specialists, telemedicine is now being piloted by Rite Aid at its in-store clinics. Competitors Walgreens and CVS are not far behind. Where does that leave traditional healthcare providers?
Missed last week's issue? See which articles your colleagues read most.
OUTPATIENT PHYSICAL THERAPY CLINICS
The basics of functional limitation reporting
Beginning July 1, CMS is requiring that you complete functional limitation reporting, or FLR, on all Medicare patients to receive reimbursement for your physical therapy services. Therefore, it's important to understand FLR thoroughly, especially because clinical judgment does play a large role in its completion. With that in mind, let's tackle the basics of FLR.
Review: Musculoskeletal pain screening tool
Medical App Journal
Örebro has offered an app to help clinicians identify patients with musculoskeletal pain who are at risk of developing a chronic condition. Patients can fill out a 10-point questionnaire from within the app, or clinicians can just use it as a reference, interpreting the different risk levels to assist with their own clinical reasoning.
7 tips for improving work efficiency in your rehab therapy clinic
You've probably come across blog posts with advice for you and your clinic on conserving resources and becoming more environmentally conscious. But let's not forget about the most important resource of all — your time. You might assume you need a major systematic overhaul to improve work efficiency in your clinic. Not so. In this case, small investments pay big dividends. Here are some quick tips to help you get the most out of every minute.
ASF INTERNATIONAL CLINICS
Tip of the week: Proper maintenance of dental prosthetics
Alta Estetica Dental
Alta Estetica Dental, an AAAASF International accredited clinic, offers tips of the week to aid in patient education. For patients with a dental prosthesis, it's important to explain how regular maintenance will prevent problems with the device and ward off periodontal disease. Since 2001, Alta Estetica Dental has provided a wide range of specialized services in oral health and dental aesthetics to national and international patients. An in-house laboratory complements state-of-the-art technology, high standards and qualified personnel.
'1 overworked doctor' provides C-sections to camp of 120,000 refugees
International Federation of Gynecology and Obstetrics
Caesarean sections at Za'atari camp, which is the temporary home to 120,000 Syrian refugees, are carried out by a single capable surgeon, the United Nations Population Fund has reported.
Plastic surgery: Where do parents draw the line?
Bullying has been thrust into the spotlight in recent years, with everything from cyberstalking to teen suicide making international headlines. Parents are more concerned than ever about their children's emotional well-being, and, to that end, some are turning to cosmetic procedures.
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