Joint Commission Revises Emergency Management Oversight Requirements

The Joint Commission has announced new requirements for leadership accountability in hospital and critical access hospital emergency management.


The new requirements, effective Jan. 1, 2014, call for an identified emergency management leader, the consideration of staff input on event response evaluation and the review of emergency management strategy by a hospital's senior leadership.

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Long-Term Outcomes of Open Carpal Tunnel Release: 8 Things to Know

In a recent retrospective study published in The Journal of Bone & Joint Surgery, researchers studied the outcomes of 211 carpal tunnel releases cases from 1996 to 2000.
http://jbjs.org/article.aspx?articleid=1694244

The mean follow-up time was 13 years and the researchers were able to get feedback from 113 of the patients.

Of the 113 patients:
•    88 percent were either completely satisfied or very satisfied with the procedure outcome.
•    74 percent reported that symptoms were completely resolved.
•    26 percent had a poor Levine-Katz function score.
•    13 percent had a poor Levine-Katz symptom score.
•    33 percent of men had poor function.
•    23 percent of women had poor function.
1.8 percent underwent repeat surgery.
•    Weakness of the hand, diurnal pain, numbness and tingling were the most common symptoms.
•    Nocturnal pain and tenderness of the incision area were the least common symptoms.

The researchers concluded that 13 years after carpal tunnel release most patients are free of symptoms and satisfied with the procedure.

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Opiate Use in Orthopedic Trauma Patients: 7 Things to Know
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