Efficiency

HealthManagement.org

Nidhi Nikhanj, MD

Obtaining vascular access is one of the most common procedures performed in U.S. hospitals, with more than 5 million central venous catheterizations (CVCs) performed annually (Feller-Klopman 2007). Nearly 80% of critical care patients undergo CVC (Gibbs; Murphy 2006) for administration of fluids, blood products, or vasoactive drugs; hemodynamic monitoring; hemodialysis or transvenous pacing during an inpatient stay (Sisson; Nagdev 2007). To learn how to reduce complications, such as central line associated blood stream infections, with placing a CVC and achieve the one-stick standard, please read the article by Dr. Nidhi Nikhanj from the March 2019 Issue of HealthManagement.org.

Diku Mandavia, MD, FACEP, FRCPC, Chief Medical Officer at FUJIFILM Sonosite

HealthCare Business News

While providers continue to adhere to safe, low-dose imaging protocols, we are also seeing a trend toward finding new care pathways that use ionizing-free modalities. For example, more clinicians are opting to use point-of-care ultrasound over CT to diagnose appendicitis in children because it’s safer and has a very high accuracy rate. Many pediatric emergency physicians are an ultrasound-first philosophy because it delivers a speedier diagnosis. It’s less costly, safer, painless, and because children typically have low body fat, it’s easy acquire very clear images with ultrasound. Read this article in the March 2019 edition of Dotmed.com by Dr. Diku Mandavia, Chief Medical Officer, FUJIFILM Sonosite, Inc. to learn more about the future of pediatric imaging.

Becker's Hospital Review

Nishant Shah, MD

During the year 2030, the number of Total Knee Arthroplasty (TKA) surgeries in the U.S. is projected to surpass 1.28 million. A recent study suggests that outpatient TKA can provide a cost savings of approximately $8,527 per patient (as compared to the standard length of stay group). Outpatient TKA also provides faster recovery time and fewer required opioid prescriptions through the use of targeted ultrasound-guided nerve blocks. Dr. Nishant Shah heads the outpatient total joint replacement program at Midwest Anesthesia Partners. In this article, Dr. Shah explains the many benefits of using ultrasound-guided regional anesthesia to enhance ERAS protocols.

Axis Imaging News

Diku Mandavia, MD, FACEP, FRCPC, Chief Medical Officer at FUJIFILM Sonosite

Vascular access is one of the most commonly performed procedures in U.S. hospitals as up to 70% of patients require a peripheral intravenous (PIV) catheter during their stay. Each year, 200 million PIV catheterizations are performed. The American College of Emergency Physicians (ACEP) recommended in a 2016 policy statement that procedural ultrasound be utilized to facilitate access. In this article, Dr. Mandavia discusses patient safety improvements that are achieved in vascular access with "the one-stick standard."

Becker's Hospital CFO Report
Rich Fabian, Chief Operation Officer, FUJIFILM Sonosite

Most of us think of warranties as a way to save money because they reduce the possibility of spending money in the future. This article from FUJIFILM Sonosite’s Chief Operating Officer, Rich Fabian, outlines that not all warranties are created equal and this could have implications for the total cost of owning an ultrasound system over its lifetime. The article shares how the fine print of a warranty document can matter, particularly as it relates to what items are expected from the warranty. In the case of ultrasound systems, one area where the warranty can make a major difference in total cost of ownership is related to the replacement of the ultrasound machine’s probes. Reading the fine print in medical manufacturers’ warranties—and understanding how that fine print relates to those vendors’ confidence in their products—can reduce these hidden costs and the obvious headaches of owning poor quality equipment. Learn more by reading this article by Rich Fabian.

Becker's Clinical Leadership & Infection Control
Stephanie J. Doniger, MD, RDMS, FAAP, FACEP

In the second part of this article that discusses how point-of-care ultrasound can improve the safety and quality of care delivered to children in an emergency room or department, Dr. Stephanie Doniger continues to outline important diagnostic and procedural applications of ultrasound used at the point-of-care. Dr. Doniger writes about using ultrasound-guided vascular access to achieve the “one-stick standard,” especially with pediatric patients, particularly those who are smaller, dehydrated or chronically ill. She outlines the cost-effectiveness case for using ultrasound as the initial Test for Suspected Pediatric Appendicitis and how it allows for achieving nearly perfect accuracy for diagnosing intussusception. Dr. Doniger also provides evidence and explains the data regarding the use of ultrasound versus x-ray in a number of applications that happen with children more than adults, like the removal of foreign bodies.

HealthCare Business News
Anthony Moretti MD, MBA and Diku Mandavia MD, FACEP, FRCPC

Physicians face unique challenges when treating the pediatric patient population.  In this article, Dr. Anthony Moretti, Chairman of the Department of Pediatrics at Adventist Health White Memorial, and Dr. Diku Mandavia, Senior Vice President and Chief Medical Officer at FUJIFILM Medical USA and FUJIFILM Sonosite Inc, discuss the technology that helps to provide solutions for these challenges.

Anesthesiology News
Edward R. Mariano, MD, MAS

Con la creciente preocupación con respecto a la epidemia de opiacios en los Estados Unidos, el Dr. Edward Mariano, Jefe del Servicio de Anestesia y Cuidados Perioperatorios del Veterans Affairs Palo Alto Health Care System y Profesor del Departmento de Anestesiología, Perioperatorio y Medicina del Dolor de la Stanford University School of Medicine describe una serie de estrategias para el éxito de los hospitales al iniciar un programa de medicina para el dolor agudo. Iniciar un programa de medicamentos para el dolor agudo puede agregar un valor significativo a un hospital a través de un mejor control del dolor postoperatorio, una recuperación más rápida, una disminución de los efectos secundarios y una mayor satisfacción del paciente. El artículo publicado recientemente por el Dr. Mariano en una edición especial de Anesthesiology News muestra a los hospitales sobre cómo comenzar con un modelo de Perioperative Surgical Home, que incluye el uso de guía por ecografía al realizar técnicas de anestesia regional y tener éxito. Lea este artículo para obtener más información y vea el video asociado: