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February 2018
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Night shift work increases risk of cancers in women

Editor's Note This meta-analysis of 61 articles (involving 3,909,152 patients) finds a positive relationship between long-term night shift work and several common cancers in women, including breast, digestive system, and skin cancers. A subgroup analysis found that for every 5 years of night shift work, the risk of breast cancer…

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By: Judy Mathias
January 9, 2018
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Effect of standardized handoff on improved clinician preparedness in the ICU

Editor's Note The UW [University of Washington]-IPASS standardized handoff curriculum improves provider preparedness and workflow in the ICU, this study finds. The intent of UW-IPASS is to standardized and improve clinician handoffs through the use of a mnemonic and electronic medical record tool that ensures communication of essential information. UW-IPASS…

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By: Judy Mathias
January 8, 2018
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Effectiveness of structured nursing leadership development program for succession planning

Editor's Note A structured nursing leadership development program that included a Web-based modular approach combined with engaged nursing executive mentorship significantly increased the competence of developing nurse leaders, in this study. The program involved nurses in a large academic health system in the southeastern US in the following roles: Clinical…

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By: Judy Mathias
January 4, 2018
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Joint Commission changes requirements for independent pathologists

Editor's Note The Joint Commission on January 3 announced that it is no longer requiring hospitals, critical access hospitals, or ambulatory care organizations to credential and privilege pathologists who provide diagnostic services through independent reference (contract) laboratories. The Joint Commission says accredited organizations can safely presume that pathologists who work…

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By: Judy Mathias
January 4, 2018
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New York first state to pass ‘BSN in 10’ law

Editor's Note New York is the first state to require new nurses to obtain a bachelor’s degree or higher in nursing within 10 years of initial licensure, the January 2 HealthLeaders Media reports. The legislation takes effect immediately; however, the degree requirement does not start for 30 months. The new…

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By: Judy Mathias
January 3, 2018
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Work-related musculoskeletal disorders in surgeons, interventionalists

Editor's Note The prevalence of work-related musculoskeletal disorders in surgeons and interventionalists is high, this meta-analysis finds. Of 5,828 physicians, there was: degenerative cervical spine disease in 17% rotator cuff pathology in 18% degenerative lumbar spine disease in 19% carpal tunnel syndrome in 9%. From 1997 to 2015, the prevalence…

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By: Judy Mathias
January 2, 2018
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Joint Commission cites ‘continuous improvement’ as 2018 survey goal

When Medicare and Medicaid legislation was passed and signed into law in 1965, the US Congress formed the precursor federal agency to the Centers for Medicare & Medicaid Services (CMS) to write the rules and regulations spelling out the “Conditions of Participation” (CoPs) required to obtain federal funding under these…

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By: Judith M. Mathias, MA, RN
December 14, 2017
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Bullying: From conflict to confrontation to civility in the OR—Part 1

Nurse bullying is a hot issue, even in the lay press—consider the 2015 Marie Claire article, “Mean Girls of the ER: The Alarming Nurse Culture of Bullying and Hazing.” Numbers vary, but the American Nurses Association reports that between 18% and 31% of nurses have experienced bullying at work. The…

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By: Cynthia Saver
December 14, 2017
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Peer initiative cultivates a better OR culture

The following “success story” describes the PEER initiative at Geisinger Medical Center, which has involved staff in making decisions to improve processes and communication. OR Manager periodically publishes success stories like this from nurse leaders or other healthcare providers who want to share their experience with our readers. Recent examples…

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By: OR Manager
December 14, 2017
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Survey finds lack of support for texting of medical orders

Editor's Note A survey released November 16 by the Institute for Safe Medication Practices found that many healthcare providers do not support the texting of medical orders. Of 778 respondents, which included nurses, pharmacists, physicians and other prescribers, medication/patient safety officers, and quality risk managers, 33% did not believe medical…

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By: Judy Mathias
November 27, 2017
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