Category Archives: Evidence-based Practice

Surgical patients warmed with forced air still experience hypothermia

Even in patients actively warmed with forced air during surgery, hypothermia is routine during the first hour of anesthesia, a new study finds. Intraoperative core hypothermia causes complications such as More »

Posted in Evidence-based Practice, Infection Prevention, Patient Safety, Patient Satisfaction, Research, Warming Techniques

Surgeon sees standardization and data as keys to higher value healthcare

Over the past decade, the number of quality measurement programs has grown exponentially as hospitals respond to public and government demands for greater accountability and improved patient care. During this More »

Posted in Costs & Cost Controls, Data, Evidence-based Practice, Performance Improvement, Quality

Leaders may be barrier to evidence-based practice

Serious barriers—including resistance from nursing leaders—are keeping nurses from adopting evidence-based practices that could improve nursing outcomes, finds a survey of more than 1,000 RNs. Leader and More »

Posted in Evidence-based Practice, Leadership

Electronic tool aids in navigating preop process

Preop “nurse navigators” aided by an electronic tool are helping a Pennsylvania health system create a more standardized, user-friendly preoperative process for preparing patients for surgery. A More »

Posted in Automation, Evidence-based Practice, Preoperative Care

Rapid methicillin-resistant Staphylococcus aureus (MRSA) screening in infection control programs

Editor’s note AUGUST 2011 OR leaders are striving to make evidence-based decisions about new technology. OR Manager, Inc., and ECRI Institute have joined in a collaboration to bring quarterly supplements with summaries of the Institute’s Emerging Technology Evidence Reports to … More »

Posted in Evidence-based Practice

Is your OR as clean as it could be? Evidence shows more is needed

Every OR has policies and procedures for environmental cleaning. But how do you know surfaces are truly free of pathogens that could transmit infection? The stakes are high. Environmental contamination plays a role in the spread of methicillin-resistant Staphylococcus aureus … More »

Posted in Evidence-based Practice

Closing the research-practice gap

New clinical evidence can take a long time to find its way into practice. How to accelerate that process is the subject of a new project by the Institute for Healthcare Improvement (IHI). Project JOINTS, rolled out in 5 states … More »

Posted in Evidence-based Practice

Robotics: Little data, much debate

Robotic surgical procedures *Includes cardiothoracic, general, and other urologic and gynecologic procedures. Source: ECRI Institute, 2008. Mention robotics in OR circles, and you’re likely to spark a debate. Is robotic surgery an innovative technique with wide application or mainly a … More »

Posted in Evidence-based Practice

What’s the value of preop bathing?

Preoperative baths or showers to prevent surgical infections have played to mixed reviews. Enthusiasm was dampened after a systematic Cochrane review in 2006, updated in 2009, examined 7 trials and found no clear evidence of a benefit for bathing or … More »

Posted in Evidence-based Practice

Bringing evidence to the OR supply chain

OR Manager interviewed Vicki Smith-Daniels, PhD, professor of supply chain management at Arizona State University, Tempe, about her research on supply chain management in the surgical suite. Qwhy do we need an academic study of the surgical supply chain? Smith-Daniels: … More »

Posted in Evidence-based Practice

SCIP: VTE prevention controversy

An orthopedic surgeon announces she is revising her orders to call for aspirin as the sole prophylaxis for venous thromboembolism (VTE) for her patients having total joint replacement who are at a standard risk for both pulmonary embolism (PE) and … More »

Posted in Evidence-based Practice

Applying the Surgical Apgar Score

“This patient is a 10. Everything went well.” Or “This patient is a 5. She will need close monitoring.” Before long, physicians and nurses may be using a numerical score like this when transferring patients from the OR to the … More »

Posted in Evidence-based Practice

WHO surgical safety checklist linked to fewer deaths, complications

There’s new evidence that the Surgical Safety Checklist developed by the World Health Organization (WHO) improves patient safety. In a worldwide pilot study, patient death and complication rates declined substantially after the checklist was introduced at 8 hospitals. Study participants … More »

Posted in Evidence-based Practice

Restrict cell phone use, at least near devices, ECRI recommends

Lifting cell phone restrictions isn’t a good idea, especially in device-intensive areas like the OR and critical care units, advises ECRI, a nonprofit organization that researches health care technology. “We’re still recommending avoiding use of cell phones if possible except … More »

Posted in Evidence-based Practice