Category Archives: Anesthesiology

23 March 2017

The Role of Professional Development in Physician Engagement

Sheridan’s Chief Quality Officer Gerald Maccioli, MD, MBA, FCCM sees physician engagement as essential for all stakeholders. He spoke with Becker’s ASC Review recently about the value of investing in comprehensive professional development opportunities for physicians to keep them engaged. 

“We all want the quadruple aim—which includes a satisfied population of physicians,” he said in the Q & A. “If engagement isn't developed, you are never going to get to that. It will always be a push and pull rather than a rolling together phenomenon.”

Dr. Maccioli explained that physicians are highly educated problem solvers for whom development and...

21 March 2017

Three Breakthrough Technologies That Will Change Medicine

The Massachusetts Institute of Technology (MIT) publishes an annual list of 10 Breakthrough Technologies. Three innovations from this year’s list promise to have a dramatic impact on the future of medicine.

Brain Implants that Reverse the Effects of Paralysis

In recent years, brain implants have enabled lab animals and even a few people to use thoughts to control computer cursors or robotic arms. According to the 2017 MIT report,  researchers are “taking a significant next step toward reversing paralysis once and for all” using what French neuroscientist Grégoire Courtine calls a “neural bypass.” Wireless implants transmit electrical impulses from brain to spinal cord, bypassing...

28 February 2017

The Stealthy Spread of Superbug CRE in U.S. Hospitals

An alarming new study from the Harvard T.H. Chan School of Public Health and the Broad Institute of MIT and Harvard suggests that carbapenem-resistant Enterobacteriaceae (CRE)—a new class of superbug referred to as “nightmare bacteria” by former CDC director Dr. Tom Frieden—may be spreading more widely and more stealthily than was previously thought. The researchers found that CREs are growing in numbers and strength, are far more diverse than expected, and have many more mechanisms for not only resisting antibiotics but also spreading that resistance to other bacteria than have been identified to date. The study’s findings were published in January in the Proceedings of the National Academy of...

27 January 2017

Jason Cobb, CRNA Receives Inaugural Bob & Ethel Allison Patient Safety Award

The Bob & Ethel Allison Patient Safety Award was conceived in response to a potential wrong-site surgery two years ago that was prevented thanks to the alertness, quick thinking and willingness to speak up of CRNA Jason Cobb. On Tuesday, Cobb became the first recipient of the award his actions helped inspire.

In December 2014, Bob Allison was being prepared for knee surgery at St. Vincent’s Medical Center Clay County in Middleburg, Florida. All the records, including the consent form Bob had signed, showed that the surgery was to be performed on Allison’s right knee, and the OR team confirmed that as the correct surgical site during the routine pre-op time-out. But when Jason Cobb looked over the...

17 January 2017

Study Identifies Risk Factors for Congenital Heart Disease in Infants

A study in the Canadian Medical Association Journal identified the chronic conditions that may predispose women to give birth to infants with congenital heart disease, also known as congenital heart defects or CHD.

The study reviewed the Taiwan Maternal and Child Health Database’s records of 1,387,650 live births from 2004 to 2010. The researchers investigated three data sets including:

Birth Registrations data on the sociodemographic characteristics of live births Birth Notifications data on prenatal care and the lifestyles of pregnant women Medical claims data from Taiwan’s National Health Insurance program

The researchers found that...

5 January 2017

Our 10 Most Popular Blog Posts of 2016

The most-read posts on the Sheridan blog in 2016 focused on key topics – ranging from the challenges involved in the transition to value-based care and this country’s physician burnout epidemic to exciting technology innovations and trends in clinical practice.

The 10 most popular posts from the past year are:

How to Manage the Burdens of Change on Physicians and Health Care Practitioners, a summary of Chief Quality Officer Dr. Gerald Maccioli’s presentation at the 2016 Health:Further Summit about the overwhelming burdens on providers created by current and planned changes to the U.S. health care landscape and strategies for managing them.

Sheridan’s 2016 Leadership...

22 December 2016

Putting Patients at the Center of the Perioperative Period

Dr. Adam Blomberg, Sheridan’s National Education Director, Anesthesiology Division, is a strong proponent of putting patients at the center of the entire perioperative period rather than just during preoperative testing. That’s the focus of a new program, TEMPO, that Sheridan has just begun to roll out formally at two partner facilities. 

TEMPO evolved from Sheridan’s proprietary ClearPATh preadmission testing (PAT) framework, which significantly streamlined the PAT process by increasing efficiency and freeing up other operating room (OR) resources. This framework has helped Sheridan anesthesiologists reduce or eliminate unnecessary testing, consultations and preoperative visits and given them the...

21 December 2016

Sublingual Sufentanil Safe and Effective for Controlling Postoperative Pain

A recent postoperative pain study sponsored by AcelRx Pharmaceuticals has demonstrated the safety and efficacy of sublingual sufentanil for controlling moderate to severe acute postoperative pain. AcelRx has an Investigational New Drug (IND) application with the U.S. Food and Drug Administration (FDA) to prove that sublingual sufentanil mini tablets are safe and efficacious in the treatment of moderate to severe acute postoperative pain. The sponsor approached Sheridan Clinical Research in April, 2016 about participating in this multicenter, randomized study of its 30-mcg sublingual sufentanil tablet, which must be administered by a healthcare professional. Sheridan anesthesiologist Juan Restrepo, MD, who had participated...

15 December 2016

U.S. Surgeon General Calls for Action on the Opioid Crisis

Opioid abuse remains a devastating public health concern, and the health care community has grappled with its role in the crisis and medical professionals’ responsibility to patients struggling with substance use. U.S. Surgeon General Vivek Murthy has responded with a report released last month analyzing the current opioid crisis and providing several recommendations for treating and preventing substance use disorders. These recommendations include:

1. Eliminate stigma

Misconceptions and negative judgments about people with substance use disorder abound, and the report stresses that even medical professionals are not immune to seeing addiction as a “moral failing or character...

14 December 2016

Using Icon-based Transport Labels to Cut Blood Product Waste and Save Money

Even simple, inexpensive changes can have a big impact on solving challenging problems. A great example is the University of Florida (UF) College of Medicine successful initiative that dramatically reduced blood product waste and saved the hospital nearly $20,000 in five months, just by replacing text-heavy instruction labels for blood transport coolers with intuitive, icon-based labels.

A multidisciplinary committee comprising blood bank staff, anesthesiology staff and operating room managers determined that a significant cause of operating room blood product waste was units that were stored and/or returned outside the required temperature range established by the American Association of Blood Banks (AABB), according to...