December 5, 2018
Today’s Top Story

Study: EHR System May Minimize Data Entry Mistakes

The use of an electronic health record (EHR) system may help reduce errors in the National Hip Fracture Database (NHFD), according to a study published online in Age & Ageing. Between July 2009 and July 2017, researchers reviewed 3,224 records, of which 2,133 were submitted before and 1,091 were submitted after the implementation of the EHR system. NHFD data were compared to locally held data. When using an EHR system, operation coding error rates fell from 23.2 percent to 7.6 percent. More than half (n = 64, 59 percent) of deaths recorded before the EHR system was implemented were incorrect, but all 112 deaths in the EHR system dataset were correct. Fracture coding errors did not differ greatly before and after the use of the EHR system When controlling for sample month, EHR system dataset entries were more likely to contain no errors when using an operation note template with fields pertaining to NHFD than when the template was not used.

Read the abstract…

Other News

Study Assesses Effects of Long Level Fusion on ADL

According to a study published in the Dec. 1 issue of Spine, long level fusion in adults with spinal deformity may impact activities of daily living (ADL). Patients were stratified into three groups:

  •  group 1–patients older than 60 years of age with degenerative spine disease without deformity
  •  group 2–adult spinal deformity (ASD) patients who did not have surgery
  •  group 3–ASD patients who had surgery for deformity correction

Researchers used the Oswestry Low Back Pain Disability Questionnaire and Assessment ADL for sedentary Asian culture (ADL-SA) questionnaire to evaluate outcomes. Group 1 had almost full function in every activity (ADL-SA: 41.4), with similar outcomes observed in group 2. ADL was impaired after long level fusion, but gradual improvements were observed over time. ADL scores reached an acceptable range one year postoperatively, but sedentary ADL activities remained impaired two years postoperatively.

Read the abstract…

Study: Physical Attributes Associated with TKA Complications

A prospective study published online in The Journal of Bone & Joint Surgery found that increasing body mass index (BMI), body surface area (BSA), body mass, and height are all predictors of common complications associated with total knee arthroplasty (TKA). Researchers evaluated data on 22,243 knees (16,106 patients) treated with a TKA at a single institution between 1985 and 2012. Increasing BMI, BSA, body mass, and height were all predictors of any postoperative revision surgical procedure, mechanical failure, and aseptic loosening. Revision surgical procedure risk increased with every standard deviation increase in BMI, BSA, body mass, and height, particularly with mechanical failure revision. Risk of failure in the mechanical failure subgroups, including a revision surgical procedure for aseptic loosening or polyethylene wear, was associated with increasing BSA, body mass, and height. Risk of any infection was associated with increasing BMI, BSA, and body mass.

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Trump Administration Releases Healthcare Choice and Competition Plan

Earlier this week, the Trump administration issued a 119-page report detailing more than 50 recommendations to promote choice and competition in the US. healthcare system. The report describes how various stakeholders, laws, and regulations affect the current state of competition. It concludes that healthcare spending is rising, and the administration believes certain regulations are suffocating choice and competition. Its recommendations to reverse course fall under four general areas: Healthcare Workforce and Labor Markets, Healthcare Provider Markets, Healthcare Insurance Markets, and Consumer-driven Health Care.

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Read the report…

FDA Announces Recall of Zimmer Biomet Spinal Fusion and Long Bone Stimulators

The Food & Drug Administration (FDA) issued a medical device recall of Zimmer Biomet EBI Osteogen Implantable Bone Growth Stimulator, SpF® PLUS-Mini (60 μA/W) Implantable Spinal Fusion Stimulator, and the SpF®-XL IIb 2/DM Implantable Spinal Fusion Stimulator. The final products—manufactured and distributed between Feb. 14, 2015, and March 31, 2018—may not have had adequate validation and controls to ensure they were clean and free from bacteria and chemical residue. Patients may experience adverse effects, including infection, tissue death, additional surgery for wound treatment and/or device removal, impaired wound and bone healing, the need for long-term antibiotic therapy, the potential for secondary gastroenteritis, epidural abscess, paralysis, damage to other organs, or death.

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AAOS Is Primed to Influence Change in Healthcare Reform

Between 1975 and 2010, the number of physicians in the United States grew 150 percent—during which time the number of healthcare administrators increased 3,200 percent. This disparity has left orthopaedic surgeons with a weaker voice. Jennifer M. Weiss, MD, chair of the AAOS Communications Cabinet, explains how AAOS and other organizations can influence change.

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AAOS Practice Management Resources

The Academy’s numerous free practice management resources provide knowledge, education, clinical tools, and professional support that help you meet the challenges of your chosen specialty and build mastery throughout your career. Access white papers, the Practice Management Advice Center, webinar recordings, and learn about topics such as Medicare Access and CHIP Reauthorization Act delivery reform and the Quality Payment Program.

View the practice management resources…


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