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Latest Issue of OR Manager
March 2018
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NSQIP: Effect of modifications to OR attire on SSIs

Editor's Note Implementation of stringent OR attire policies that include full coverage of ears and facial hair do not reduce surgical site infection (SSI) rates, finds this study. Researchers compared National Surgical Quality Improvement Program (NSQIP) data from all patients having surgery 9 months before implementation (3,077) to 3,440 patients…

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By: Judy Mathias
February 5, 2018
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Healthcare adds 21,500 jobs in October

Editor's Note Healthcare employment in the US rose in January to a seasonally adjusted 15,888,400 workers, the Bureau of Labor Statistics reported on February 2. That’s 20,600 more workers than in December and 294,900 more than a year ago. ESTABLISHMENT DATA Table B-1. Employees on nonfarm payrolls by industry sector…

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By: Judy Mathias
February 5, 2018
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Physicians negatively affected by EHRs

Editor's Note Physicians are more likely to leave the profession or reduce their hours if they are uncomfortable using electronic health records (EHRs), the January 24 Medical Economics reports. Although EHRs have the potential to enhance quality of care and clinical coordination, they also increase risk of physician burnout, reduce…

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By: Judy Mathias
January 25, 2018
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Joint Commission Quick Safety reports on supporting second victims

Editor's Note The Joint Commission on January 24 announced that its January Quick Safety examines second victim experiences and safety actions to consider, and it also includes an anonymous, personal story of a Joint Commission employee who is a second victim. Though the patient and family are the priority for…

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By: Judy Mathias
January 25, 2018
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Postop wound monitoring app helps detect SSIs

Editor's Note A new smartphone app called “WoundCare” is successfully letting patients send images of their surgical wounds to nurses for monitoring, this study finds. The goal of the app, developed by researchers from the Wisconsin Institute of Surgical Outcomes Research, University of Wisconsin, Madison, is earlier detection of surgical…

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By: Judy Mathias
January 23, 2018
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Changes in prevalence of needlestick injuries, protection practices, and attitudes over 12 years

Editor's Note Though needlestick injuries and exposure to bloodborne pathogens continue to be significant hazards for surgeons and nurses, concern about risk is declining, and the true conversion risk is underestimated, this study finds. A survey was distributed to 358 medical students and 247 department of surgery staff at an…

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By: Judy Mathias
January 19, 2018
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Planning can relieve 'growing pains' of hospital mergers

Healthcare mergers and acquisitions are becoming as common as add-on cases in the OR, with hospitals struggling to stay profitable in a financially challenging environment. Between 2008 and 2014, the United States had nearly 400 hospital mergers and acquisitions (M&A), with more than 750 hospitals being acquired or merged. “It’s…

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By: Cynthia Saver, MS, RN
January 19, 2018
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Bullying: From conflict to confrontation to civility in the OR--Part 2

Kermit the frog famously said, “it’s not easy being green.” He longed to be some other color, and OR leaders faced with managing a bully have probably wished they, too, could be someone—or somewhere—else. Using some recommended approaches can help. In Part 2 of this three-part series on bullying, OR…

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By: Cynthia Saver, MS, RN
January 19, 2018
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Business award caps off a long, successful career

The Best in OR Business Award will be presented to Karlene Power, MSN, BSN, RN, at the 2018 OR Business Management Conference in San Antonio on February 1. Power already has been recognized for her outstanding work at Banner Health in Phoenix, where she is system executive director, perioperative service…

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By: Elizabeth Wood
January 19, 2018
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Visual cues help PACU staff avoid medication errors

Concern about opioid abuse has reached epic proportions in recent months, and healthcare providers have come under increasing pressure to help mitigate the problem. Curbing the tendency to overprescribe pain medications is considered the first, most obvious step, but there are other actions that can also improve patient safety. Nurse…

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By: Judith M. Mathias, MA, RN
January 19, 2018
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