Preoperative Care

Latest Issue of OR Manager
October 2017

Case cancellations reduced by preop patient phone calls

Cancellation of surgical cases, especially prescheduled elective surgeries, is a pervasive problem that reduces OR utilization and hospital revenue. The estimated direct and indirect annual cost of such cancellations across the US is approximately $39 billion per year, with an average OR cost between $20 and $65 per minute. Facilities…

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By: OR Manager
February 17, 2017
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Lean processes improve surgical wait times at VA hospital

Editor's Note Implementation of Lean system redesigns was associated with a significant and sustained wait list reduction from 33.4 days to 12.0 days for patients waiting for elective general surgery procedures at a Veterans Affairs medical center, this study finds. The study covered FY 2012 to 2014. At the same…

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By: Judy Mathias
January 19, 2017
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ASA updates guidelines for preop fasting, drugs to reduce pulmonary aspiration risk

Editor's Note The American Society of Anesthesiologists (ASA) has published new “Practice guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration: Application to health patients undergoing elective procedures.” The document updates its guidelines published in 2011. The guidelines are intended for use…

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By: Judy Mathias
January 6, 2017
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SSIs fall sharply with team-based protocol changes

Surgical site infections (SSIs) are a major cause of morbidity in surgical patients, leading to increased length of stay and healthcare costs. No single intervention has demonstrated efficacy in reducing SSIs. When SSIs rose to a rate of 16.3% in 2013 at St Elizabeth Boardman Hospital in Boardman, Ohio, perioperative…

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By: OR Manager
December 14, 2016
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Huddles help hospitals move toward the goal

Like a football team gathering to confirm tactical details before a play, surgical staff often form a huddle to ensure readiness of the providers, patient, and equipment for the upcoming procedure. In a twist on the traditional huddle the day before surgery, staff at the Hospital of Central Connecticut (HOCC)…

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By: OR Manager
December 14, 2016
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2015 OR Business Management eLearning Course: Delivering High-Quality Health Care for Low Cost: Rethinking the Way We Look at Supplies in the OR

OR Manager presents this eLearning course created from a popular session at the 2015 OR Business Management Conference, pre-approved for 1.5 contact hours. This eLearning course was presented by expert speakers from the conference. Delivering High-Quality Health Care for Low Cost: Rethinking the Way We Look at Supplies in the OR:…

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Prehabilitation program improves preop fitness in colon cancer patients

Editor's Note Engaging colon cancer patients in a prehabilitation program 4 weeks before surgery modified exercise behaviors and improved physical function, which improved postoperative outcomes, finds this study. Researchers randomized 116 patients to either a prehabilitation program (57 patients) or a control group (59 patients). After 4 weeks, compared with…

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By: Judy Mathias
December 7, 2016
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Apps helping patients before, after surgery

Editor's Note Chicacgo-area hospitals are using apps to help patients prepare for and recover from surgery and communicate their symptoms, the November 30 Chicago Tribune reports. Amita Health is now using the TapCloud app with good results−of 309 orthopedic patients who have used the app, none have had to be…

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By: Judy Mathias
December 1, 2016
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Frailty screening tied to improved postop outcomes

Editor's Note Implementation of a frailty screening initiative for preoperative patients was associated with reduced mortality, this study finds. In 9,153 patients screened, postoperative mortality decreased significantly at 30, 180, and 365 days, and improvements were noted in both frail and nonfrail patients. Multivariate analysis showed a three-fold survival benefit…

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By: Judy Mathias
November 30, 2016
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Effectiveness of SAS in predicting emergency surgery outcomes

Editor's Note The Surgical Apgar Score (SAS) was found to be significantly predictive but weakly discriminative for major complications and death after emergency high-risk abdominal surgery in this study. The risk of major complications, death, and ICU admission increased significantly with decreasing SAS (P < .001). The score’s c-statistics were…

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By: Judy Mathias
November 29, 2016
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Risk Analysis Index measures frailty in surgical patients

Editor's Note In this study, a Risk Analysis Index was found to measure frailty in surgical patients with predictive ability equal to other frailty tools, with an additional advantage of rapid, real-time, preoperative assessment feasible for guiding surgical decision making. The Index measures frailty prospectively using a questionnaire or retrospectively…

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By: Judy Mathias
November 28, 2016
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The Affordable Care Act: How Healthcare Reform Is Impacting Your Hospital FREE On Demand Webinar

Sponsored by:         CEs: 1 Contact Hour  *Please note that this event is held in Eastern Standard Time The Affordable Care Act: How Healthcare Reform Is Impacting Your Hospital The Affordable Care Act (ACA) is a hallmark initiative that has had a major impact on the delivery…

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