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Hospitals that volunteered to be under financial incentives for more than a decade as part of the Premier Hospital Quality Incentive Demonstration do not have better process scores or lower mortality than hospitals where these incentives were implemented later under the Hospital Value-Based Purchasing program

For Hospitals, No Benefit for Early Adoption of Financial Incentives

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Hospitals with early adoption do not have better process scores, lower mortality than late adopters
The prevalence of work-related musculoskeletal disorders appears to be high for at-risk physicians

Higher Risk of Musculoskeletal Disorders in Some Physicians

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Increasing risk for work-related musculoskeletal disorders, particularly in procedural specialists

December 2017 Briefing – Anesthesiology

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Here are what the editors at HealthDay consider to be the most important developments in Anesthesiology for December 2017. This roundup includes the latest...
For patients scheduled for major surgery

Pre-Op Accelerometry Can Assess Cardiopulmonary Fitness

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Accelerometry variables correlate with cardiopulmonary exercise variables
Helping patients understand individualized reasons for opioid tapering and encouraging them to provide input into the process are key for patient-provider communications

Tips Offered for Patient-Provider Opioid Tapering Talks

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Patients should understand individualized reasons for tapering, know their providers will not abandon them
Genetics may be a factor in the experience of chronic pain post surgery

Gene Polymorphisms Linked to Risk of Chronic Post-Op Pain

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Genetic variations, age, gender, history of chronic pain all associated with risk
For patients with type 2 diabetes mellitus undergoing non-cardiac surgery

Pre-Op Liraglutide Cuts Post-Op Plasma Glucose in T2DM

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Preoperative administration of liraglutide linked to lower post-op glucose, increase in pre-op nausea
Almost 30 percent of eligible practices failed to register and report data in the first year of the Physician Value-Based Payment Modifier program

Year One Results Out for Value-Based Payment Modifier Program

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Overall, 29.3 percent of eligible practices failed to register and report data and received a penalty
Preoperative levels of serum total cholesterol do not correlate with postoperative pain following laparoscopic surgery for gastric cancer

No Link Between Pre-Op Cholesterol, Post-Op Pain

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Findings based on patients undergoing laparoscopic surgery for gastric cancer
For postoperative patients there is considerable variation in the amount of opioids prescribed at hospital discharge

Amount of Opioids Prescribed After Hospital Discharge Varies

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45.6 percent of patients using no opioids 24 hours predischarge were prescribed opioids at discharge