Evidence-based Practice
Home Periop Nursing > Perioperative Practice > 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 coagulopathy, surgical site infections, and possibly myocardial complications. It also decreases drug metabolism, prolongs recovery, and causes thermal discomfort. Warming…

Read More

By: OR Manager
February 12, 2015
Share

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 time, quality programs have been focused largely on how to do quality, how to measure it, how to improve it,…

Read More

By: OR Manager
January 15, 2015
Share

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 manager resistance was ranked among the top barriers along with politics and organizational cultures. Asked what would help, respondents named education, access to…

Read More

By: OR Manager
October 1, 2012
Share

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 cornerstone of the process is evidence-based guidelines for preop evaluation developed by a 50-person task force. “We wanted to optimize our approach so…

Read More

By: OR Manager
March 6, 2012
Share

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 OR Manager readers. ECRI Institute is an independent nonprofit organization…

Read More

By: OR Manager
August 1, 2011
Share

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 (MRSA), vancomycin-resistant enterococci (VRE), and Clostridium difficile, among others. Evidence…

Read More

By: OR Manager
July 1, 2011
Share

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 in April 2011, focuses on accelerating adoption of evidence-based practices…

Read More

By: OR Manager
July 1, 2011
Share

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 marketing ploy to attract patients? Or does the truth lie…

Read More

By: Cynthia Saver, RN, MS
August 1, 2010
Share

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 showering with chlorhexidine gluconate (CHG) over a placebo. Preop bathing…

Read More

By: OR Manager
April 1, 2010
Share

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: The short answer is: Clinicians like scientific evidence. The surgical…

Read More

By: OR Manager
December 1, 2009
Share
Live chat by BoldChat