Legal/Ethical Issues

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December 2017
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Remote video auditing: A path to compliance and safety

Perioperative services leaders seeking to improve safety and efficiency without sacrificing quality may want to turn to remote video auditing (RVA), which is being successfully used in hospital ORs and ambulatory surgery centers (ASCs). “We’ve seen improved patient safety, efficiency, and cleaning processes,” says Sheldon Newman, MD, executive vice chairman…

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By: Cynthia Saver, MS, RN
November 15, 2017
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Peer review inspires high performance from providers

Peer review is a hot topic in the quality arena as many ambulatory surgery centers (ASCs) strive to create meaningful and sustainable evaluation of their providers. “As a surveyor, I can tell you peer review trips everybody up,” says Ann Geier, MS, RN, CNOR, CASC, chief nursing officer of Surgical…

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By: Leslie Flowers
November 15, 2017
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ECRI Institute releases Top 10 Health Technology Hazards for 2018

Editor's Note The ECRI Institute on November 6 released its Top 10 Health Technology Hazards for 2018. The report identifies potential sources of danger involving medical devices and other healthcare technologies to watch for in the coming year. Topping the list is ransomware and other cybersecurity threats, followed by endoscope…

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By: Judy Mathias
November 6, 2017
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One in five physicians intend to reduce work hours or leave the profession

Editor's Note The burden and bureaucracy of today’s practice of medicine are major factors influencing physicians’ intentions to reduce work hours or leave the profession, finds this study from the American Medical Association, Mayo Clinic, and Stanford University. Of nearly 36,000 physicians across all specialties surveyed, 6,880 (19.2%) responded. Nearly 1…

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By: Judy Mathias
November 2, 2017
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Manufacturers optimistic about repeal of medical device tax

Editor's Note On October 24, 179 House members (including 43 Democrats) signed a letter to Speaker Paul Ryan (R-Wis) calling for repeal of the medical device tax, the October 25 issue of The Hill reports. The medical device tax, which was included in the Affordable Care Act to help pay…

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By: Judy Mathias
October 27, 2017
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Eyes Wide Shut: Managing Taboo Issues

Have you ever faced a situation where there wasn’t a clearly defined answer? Using best practices as a general guideline provides solutions to many challenges OR managers experience, but it is only a matter of time before a moral or ethical dilemma rears its ugly head. What do you do…

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Comparison of internal medicine, general surgery residents’ postop risk assessments

Editor's Note Risk assessments of postoperative complications and death in surgically complex patients were not significantly different between internal medicine and general surgery residents in this study. However, both groups overestimated the risks compared with the American College of Surgeons’ National Surgical Quality Improvement Project (ACS NSQIP) risk adjusted model.…

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By: Judy Mathias
October 12, 2017
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ECRI Institute offers free disaster preparedness, recovery resources

Editor's Note In response to the destruction caused by hurricanes Harvey, Irma, and Maria, the ECRI Institute is providing free access to resources, publications, and tools to help guide healthcare facilities affected by natural disasters. The Disaster Preparedness and Recovery Resource Center, which includes links to material from the ECRI…

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By: Judy Mathias
October 11, 2017
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Joint Commission posts sentinel event stats for first half of 2017

Editor's Note The Joint Commission on September 20 posted sentinel event statistics from its database through June 30, 2017. Of the top 10 most frequently reported sentinel events during this time period: Falls topped the list with 49 events. Unintended retention of a foreign object was 3rd with 41 events.…

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By: Judy Mathias
September 27, 2017
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Causes of malpractice lawsuits against surgical residents

Editor's Note This database review of malpractice lawsuits against surgical residents highlights the importance of perioperative management, particularly among junior residents, and the importance of appropriate supervision by attending physicians as targets for education on litigation prevention. During a 10-year period, 87 malpractice cases involving surgical residents were identified. Results…

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By: Judy Mathias
September 6, 2017
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Study: Concurrent surgeries not linked to adverse outcomes

Editor's Note In this study using data from the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP), concurrent surgical procedures were not found to increase the risk for adverse outcomes. The analysis included 1,430 surgeons from 390 hospitals who performed 12,010 concurrent surgical procedures from 2014 to…

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By: Judy Mathias
August 23, 2017
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Daily Huddle Tackles Debriefing Issues

Debriefing has become a standard practice in operating rooms today. Debriefings are designed to discuss opportunities for improvement. Barriers to a successful debriefing include; staff that are conducting debriefing don’t have the ability to make changes, information frequently does not reach leadership and lastly when leadership does get information, content…

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