Emergency Service

Latest Issue of OR Manager
October 2017

Mode of transport to hospital linked to mortality in penetrating trauma patients

Editor's Note Private vehicle transport was associated with a significantly lower likelihood of death compared with ground emergency medical services (EMS) transport for patients with gunshot and stab wounds in this study. In this analysis of 103,029 patients in the National Trauma Data Bank, 87.6% were male, 47.9% were black,…

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By: Judy Mathias
September 21, 2017
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23 Houston-area hospitals move patients; 25 more are vulnerable

Editor's Note At least 23 hospitals in the Houston area affected by flooding from Hurricane Harvey have moved patients to other facilities, and another 25 are considered vulnerable to flooding or shortages of staff and supplies, the August 29 Houston Chronicle reports. The full tally of evacuated patients was not…

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By: Judy Mathias
August 30, 2017
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Flooding from Harvey prompts HHS to declare public health emergency

Editor's Note Health and Human Services (HHS) Secretary Tom Price, MD, has declared a public health emergency because of flooding and lingering rain in the aftermath of Hurricane Harvey, the August 28 Healthcare Finance News reports. This declaration gives healthcare providers in Texas and Louisianian greater flexibility in treating people displaced by the…

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By: Judy Mathias
August 29, 2017
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Houston Hospitals hit by flooding from Harvey

Editor's Note Flooding from Hurricane Harvey is pushing some Houston hospitals to close or evacuate, the August 27 Modern Healthcare reports. Baylor College of Medicine and clinics closed Sunday, August 27, as did all Texas Children’s Hospital’s pediatrics practices and urgent care locations. The University of Texas MD Anderson Cancer…

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By: Judy Mathias
August 28, 2017
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Public expects physicians, nurses to protect them during active shooting events

Editor's Note Results of a new national survey by the Hartford Consensus about views of the public and healthcare professionals on active shooter events in hospitals show that: 61% of the public and 62% of professionals believe physicians and nurses have a special duty to protect patients during an active…

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By: Judy Mathias
August 22, 2017
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Development of Service Line Leadership as Teachers and Coaches for Daily Improvement

Organizations implementing Lean systems, methods, and tools must transition from just using the tools to creating a culture of process improvement. David Mann (The Missing Link: Lean Leadership) asserts that a successful Lean transformation should focus 20% of the time on implementing tools and the other 80% on changing leaders’…

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Trauma centers with ACS verification have fewer complications

Editor's Note Trauma centers verified by the American College of Surgeons Committee on Trauma (ACS-COT) have fewer complications among pediatric, elderly, and severely injured patients, finds this study. The odds of experiencing any major complication were more than 3.0 times greater for elderly patients in trauma centers without ASC-COT verification…

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By: Judy Mathias
June 6, 2017
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Clotting assay predicts need for massive transfusion in trauma patients

Editor's Note Using a new blood clot strength test based on a modified thrombelastography (TEG) assay with exogenous tissue plasminogen activator (tPA), researchers at the University of Colorado, Denver, were quickly able to assess the overall ability of blood to clot and identify trauma patients in need of a massive…

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By: Judy Mathias
May 23, 2017
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Training surgeons to teach the public bleeding control techniques

Editor's Note Training surgeons in bleeding control techniques so they can, in turn, teach the general public is an effective way to disseminate bleeding control knowledge and skills, finds this study. Of 341 surgeons who were trained and surveyed at the 2016 American College of Surgeons (ACS) Congress, 93.79% agreed…

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By: Judy Mathias
May 11, 2017
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Brief learning module effective in teaching hemorrhage control

Editor's Note An 8-minute module can be deployed in clinical and nonclinical settings to train a large workforce in hemorrhage control, this study finds. In response to active shooter and mass casualty incidents, researchers at UnityPoint Health, Des Moines, Iowa, wanted to see if they could take important information from…

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By: Judy Mathias
March 23, 2017
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Study: OR team communication varies during emergencies

Editor's Note Communication patterns and needs vary between members of the surgical team and by specialty during simulated operative emergencies, and the effect of directed communication in eliciting a response (ie, closed loop communication) depends on the clinical status of the patient, finds this study. Surgeons and nurses initiated fewer…

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By: Judy Mathias
December 2, 2016
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The Missing Link: Connecting Process Improvement to Strategic, Financial, Quality and Service Outcomes

This presentation will demonstrate how to map surgery services process metrics to corporate strategy, including strategic financial, quality, and service outcomes. The multidisciplinary leadership team and behavioral change approach integrates Lean Six Sigma initiatives with strategic goals to meet Affordable Care Act requirements. Learning objectives • Develop a clearer understanding…

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