Letter to the Editor. External shunt valve after shunt removal for infection as a cost-saving measure

2019 ◽  
Vol 24 (6) ◽  
pp. 735-736
Author(s):  
Brice A. Kessler ◽  
Scott Elton ◽  
Carolyn Quinsey
Keyword(s):  
Cost Saving ◽  
Shunt Valve ◽  
Letter To The Editor ◽  
Shunt Removal ◽  
Saving Measure

scholarly journals Impact of economic crisis on indications for general versus local anaesthesia in head and neck surgery: a single centre analysis

2014 ◽  
Vol 3 (6) ◽  
pp. 92
Author(s):  
Tatjana Goranovic ◽  
Boris Simunjak ◽  
Dinko Tonkovic ◽  
Miran Martinac
Keyword(s):  
Cost Saving ◽  
Head And Neck ◽  
General Anaesthesia ◽  
Local Anaesthesia ◽  
Neck Surgery ◽  
Head And Neck Surgery ◽  
Significant Difference ◽  
Before And After ◽  
Saving Measure ◽  
The Impact

Objective: To analyze the impact of the hospital board’s cost saving measure on physicians’ decision to indicate head and neck surgery according to the type of anaesthesia (general versus local). Methods: Design: a retrospective analysis of medical charts on head and neck surgery and anaesthesia covering 2011-2012. Setting: department of otorhinolaryngology and head and neck surgery, university hospital, Croatia. Participants: patients undergoing head and neck surgery. Intervention(s): reduction of departmental financial fund for general anaesthesia for 10%. Main Outcome Measure(s): an overall of number of head and neck surgeries performed in general versus local anaesthesia before and after the implementation of the intervention measure. Results: There were a total of 984 head and neck surgeries in general anaesthesia in 2011 and 861 in 2012. There were a total of 460 head and neck surgeries in local anaesthesia in 2011 and 528 in 2012. The performance of head and neck surgeries in general anaesthesia was significantly reduced in a year after the implementation of the intervention (p = .01) There was no statistical significant difference in the performance of head and neck surgeries in local anaesthesia before and after the intervention. Conclusions: The reduction of departmental fund for general anaesthesia as a cost saving method resulted only in reducing the total performance of surgeries in general anaesthesia without any switch to performing surgeries in local anaesthesia. It seems that the hospital board’s cost saving measure did not have any impact on physicians’ decisions to indicate more surgeries in local anaesthesia. 

Su1613 Reuse of Medical Devices Labeled for Single Use: Accepting and Overcoming a Need As a Cost-Saving Measure in an ERCP Unit

2015 ◽  
Vol 81 (5) ◽  
pp. AB351
Author(s):  
David H. Zagalsky ◽  
José M. Mella ◽  
Guidi Martin ◽  
Cecilia Curvale ◽  
Hwang Hui Jer ◽  
...  
Keyword(s):  
Cost Saving ◽  
Medical Devices ◽  
Single Use ◽  
Saving Measure

Analyst Forecast Bundling

2020 ◽  
Vol 66 (9) ◽  
pp. 4024-4046 ◽  
Author(s):  
Michael Drake ◽  
Peter Joos ◽  
Joseph Pacelli ◽  
Brady Twedt
Keyword(s):  
Cost Saving ◽  
Earnings Forecasts ◽  
Research Process ◽  
Economic Conditions ◽  
Analyst Forecast ◽  
The Past ◽  
Field Evidence ◽  
Tiered Services ◽  
Saving Measure ◽  
Over Time

Changing economic conditions over the past two decades have created incentives for sell-side analysts to both provide their institutional clients tiered services and to streamline their written research process. One manifestation of these changes is an increased likelihood of analysts’ issuing earnings forecasts for multiple firms on the same day. We identify this bundling property and show that bundling has increased steadily over time. We provide field evidence that the practice is a cost-saving measure, a natural by-product of analysts focusing on thematic research, and a reflection of forecast updating that occurs in advance of important events. Our empirical analyses show that bundled forecasts are less accurate, less bold, and less informative to investors than nonbundled forecasts. We also find that analysts who produce bundled forecasts provide valuable specialized services to their institutional clients. Our findings ultimately demonstrate that forecast bundling has important implications for the properties of analysts’ forecasts. This paper was accepted by Shiva Rajgopal, accounting.

scholarly journals A Simple Cost-Saving Measure

2014 ◽  
Vol 35 (4) ◽  
pp. 349-353 ◽  
Author(s):  
Amir Ibrahim ◽  
Shawn Fagan ◽  
Tim Keaney ◽  
Karim A. Sarhane ◽  
Derek A. Hursey ◽  
...  
Keyword(s):  
Cost Saving ◽  
Saving Measure

scholarly journals A cost-saving measure for ultrasound-guided musculoskeletal injections

2018 ◽  
Vol 21 (3) ◽  
pp. 277-278
Author(s):  
Jennifer Murphy ◽  
Sharon McGarry ◽  
Anish Patel ◽  
A. Mark Davies ◽  
Steven L. James ◽  
...  
Keyword(s):  
Cost Saving ◽  
Ultrasound Guided ◽  
Saving Measure

Complications and subsequent removal of retained shunt hardware after endoscopic third ventriculostomy: case series

2013 ◽  
Vol 11 (6) ◽  
pp. 722-726 ◽  
Author(s):  
Jonathan Pindrik ◽  
George I. Jallo ◽  
Edward S. Ahn
Keyword(s):  
Endoscopic Third Ventriculostomy ◽  
Case Series ◽  
Wound Dehiscence ◽  
Third Ventriculostomy ◽  
Subsequent Removal ◽  
Shunt System ◽  
Shunt Valve ◽  
Shunt Insertion ◽  
History Of ◽  
Shunt Removal

This case series highlights multiple complications and subsequent removal of retained shunt hardware in pediatric patients after successful endoscopic third ventriculostomy (ETV). Removal or retention of existing shunt hardware following ETV represents an important dilemma. Prior studies have reported infections and organ perforation related to nonfunctioning shunts but none in the context of successful ETV. Data obtained in 3 children with hydrocephalus treated at the authors' institution were retrospectively reviewed after the patients experienced complications due to retained shunt hardware following ETV. Etiologies of hydrocephalus included tectal glioma and intraventricular hemorrhage. All 3 patients had a history of multiple shunt revisions and underwent urgent ETV in the setting of a shunt malfunction. In each case, the entire shunt system was left in situ, but it became the source of subsequent complications. Two of the 3 patients presented with the shunt infected by gram-negative bacilli 10 days and 4.5 months postoperatively, respectively. The remaining patient experienced wound dehiscence over the shunt valve 4.5 months after ETV. In all patients, the complications were managed successfully by removing the shunt hardware. None of the patients required repeat shunt insertion from the time of removal throughout the follow-up period (mean 24 months, range 9–36 months). During the study period, a total of 6 patients with indwelling shunt hardware underwent ETV with the expectation of being shunt independent. Among these 6 patients, 3 experienced no complications from the retained hardware whereas 3 patients (50%) ultimately experienced adverse consequences related to retained hardware. This case series illustrates complications involving retained shunt hardware after successful ETV. These examples support consideration of shunt removal at the time of ETV in the appropriate context.

Microscope and hot wire cautery management of 100 consecutive patients with acute epistaxis — a superior method to traditional packing

1994 ◽  
Vol 108 (10) ◽  
pp. 845-848 ◽  
Author(s):  
S. M. Quine ◽  
R. F. Gray ◽  
M. Rudd ◽  
H. von Blumenthal
Keyword(s):  
Cost Saving ◽  
Prospective Study ◽  
Nasal Packing ◽  
Hot Wire ◽  
Microscope Examination ◽  
Discharge Home ◽  
A Prospective Study ◽  
Saving Measure ◽  
And Control

AbstractThe technique of microscope examination and hot wire cautery in a prospective study of 100 consecutive patients with acute epistaxis is described. The method was successful in arresting haemorrhage in 94 per cent of patients bleeding at the time of examination, and in 86 per cent, discharge home within one hour was possible. Due to improved illumination, magnification and control of the cautery instrument, nasal packing was required in only nine per cent of cases. By achieving this and by reducing the overall need for admission to 20 per cent, we recommend this method of treatment both as a successful cost saving measure, as well as advantageous to the patient.

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