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The recent action by the Florida Board of Medicine to restrict liposuction and abdominoplasty procedures in an office setting may call the safety of liposuction into question. However, the latest liposuction study reports a complication rate of only 3% for 331 cases performed in office-based settings included in the study, according to the Accreditation Association for Ambulatory Health Cares Institute for Quality Improvement (IQI) in Wilmette, IL.
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At an Oklahoma hospital, two children died within a few days of each other after having routine outpatient surgical procedures. One child died from toxic effects of morphine with a probable primary myopathy as a contributing cause, and the other child died from probable codeine and morphine toxicity, along with acute and chronic bronchitis with evolving pneumonia, according to the autopsy reports.
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In light of so many providers having difficulty meeting the standard of care for medication administration, the Joint Commission on Accreditation of Healthcare Organizations is taking action.
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In this second part of a two-part series on new technology, we discuss how to handle credentialing in this story and how to respond to errors.
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I have had several individuals contact me regarding a past article in which I mentioned that the service that administrators find the most difficult to work with is anesthesia. Since I wrote that article, I have tried to understand from where the problems arise. After further conversations with the original group and others, especially anesthesia personnel, it appears that many of the problems same-day surgery programs are having result from poor communication.
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Major advances in reducing sharps injuries have not yet pervaded the OR, where one out of four sharps injuries takes place, but there are some simple steps that same-day surgery managers can take to promote safety, sharps safety experts say.
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Florida surgeons cannot perform liposuction and abdominoplasty procedures on the same patient within 14 days of each other as a result of a 90-day moratorium imposed by the Florida Board of Medicine on Feb. 11, 2004.
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The 2004 fixed performance areas that will be addressed in random unannounced surveys conducted by the Joint Commission on the Accreditation of Health Organizations will be organized by critical focus areas instead of performance categories as in the past.
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The Centers for Medicare & Medicaid Services has announced these rates for ambulatory surgery center groups, effective April 1, 2004.
