Evidence-based Practice

Latest Issue of OR Manager
July 2016
Home Periop Nursing > Perioperative Practice > Evidence-based Practice

Study doesn’t support capnography for colonoscopy

Editor's Note Capnographic monitoring during outpatient colonoscopy with moderate sedation increased costs significantly and did not improve patient safety or satisfaction, this study finds. The analysis included 966 patients (465 without and 501 with capnography) who underwent colonoscopy at the Beth Israel Deaconess Medical Center, Boston. Patients and nurses reported…

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By: Judy Mathias
February 23, 2016
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Rates of lab tests before low-risk surgical procedures

Editor's Note Depending on which hospital a patient goes to for a low-risk surgical procedure, he or she may be 2.4 times more or less likely to be sent for preoperative blood work, this study finds. Researchers found that overall, unnecessary preoperative lab tests (eg, complete blood count, blood clotting…

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By: Judy Mathias
February 5, 2016
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Improved surgical outcomes in ACS NSQIP hospitals

Editor's Note Participation in the American College of Surgeons, National Surgical Quality Improvement Program (ACS NSQIP) is associated with a reduction in postoperative adverse events, and the magnitude of quality improvement increases with time in the program, this study finds. Hospitals in the ACS NSQIP program for at least 3…

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By: Judy Mathias
January 11, 2016
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Nurse leaders play pivotal role in implementing enhanced recovery programs

Frequently OR leaders are at the forefront of implementing enhanced recovery after surgery (ERAS) protocols. They have the skills to facilitate implementation of ERAS and to dispel any misconceptions about it, says Donna Watson, MSN, RN, CNOR, FNP. Watson, director for Medtronic Health Systems Advantage in Boulder, Colorado, is an…

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By: OR Manager
December 16, 2015
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Specific care bundles successfully cut surgical site infection rates

Three new studies on reducing surgical site infections (SSIs) were reported at the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) conference in July. Researchers at three different institutions identified several process changes that, once implemented, brought down SSI rates. Each study used different methodology, but all…

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By: Judith M. Mathias, MA, RN
November 18, 2015
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Implementing Evidence Based Practice

Evidence-based practice has emerged as one of the most important health care movements of the 21st century. But the challenge for many nurses is converting the theory of evidence-based practice into action and incorporating it into a daily routine. In Implementing Evidence-Based Practice for Nurses: Real-Life Success Stories, real clinicians,…

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Vanderbilt's anesthesia QI program reduces adverse postoperative events

The anesthesia quality improvement program at Vanderbilt University Medical Center in Nashville can claim a variety of successes, notably less postoperative hypo- and hyper-glycemia and fewer wound infections. When anesthesia providers noticed they weren’t monitoring blood glucose in patients with diabetes as frequently as their own goals specified, they put…

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By: OR Manager
November 18, 2015
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Researchers identify ways to reduce UTI rates

Three new studies on reducing urinary tract infections (UTIs) were reported at the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) conference in July. Researchers identified several process changes that, once implemented, brought down infection rates. Each study and its findings are described below.   The S.T.O.P.…

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By: Judith M. Mathias, MA, RN
October 28, 2015
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OR team uses evidence-based practices to reduce readmissions

Concerted efforts to reduce readmissions have paid off at Inova Fairfax Hospital in Falls Church, Virginia. Among its bragging rights since launching an initiative last year: decreased length of stay for colorectal surgery patients and a downward trend in readmissions. To learn how they did it, OR Manager spoke with…

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By: OR Manager
September 22, 2015
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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…

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By: OR Manager
February 12, 2015
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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,…

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By: OR Manager
January 15, 2015
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Back to Basics: Nurses Take Charge of Their Practice - On-Demand Webinar

Date: Thursday, May 8Time: 2:00 p.m. – 3:00 p.m. ET CEs: 1 Contact Hour The Institute of Medicine has urged nurses to take charge of their practice.  Yet day to day observations of nursing staff might reveal poor professional behavior.  How do you change the culture at a large university…

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