Reducing cardiac risk in noncardiac surgery

Article Abstract:

All patients with heart disease who will be having surgery for some other reason should receive a beta blocker before and after surgery to minimize potentially serious complications. These patients are at risk of a heart attack even if they are having surgery on some other part of the cardiovascular system. A 1999 study showed that a beta blocker given a week before and up to one month after non-cardiac surgery reduced the risk of complications in these patients by 91%. However, they all had a very high risk of a complication so the same result might not be seen in other patients.

Editorial, Evaluation, Prevention, Surgery, Heart attack, Adrenergic beta blockers, Adrenergic beta-antagonists, Cardiac patients

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In the dark- the case for electronic health records

Article Abstract:

The importance of a timely report of a study performed is discussed, and vitality of familiarization with all literature on medication, procedures, and imaging methods is mentioned, which is irrelevant when a flawed communication system limits the translation of knowledge into clinical practice.

Innovations, Technology application, Electronic records, Communication in medicine, Medical communication

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Pay for performance, version 2.0?

Article Abstract:

The pay for performance is applied to Geisinger Health System's new approach to elective coronary-artery bypass grafting (CABG). The advantages and limitations of pay for performance are discussed.

Personnel administration, Compensation and benefits, Coronary artery bypass, Heart surgeons, Pay for performance

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