Risk Management

Latest Issue of OR Manager
October 2017

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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Mobile devices: A menace to propriety and patient privacy

Imagine this scenario in your ambulatory surgery center (ASC): A husband and wife in their early 80s arrive for the husband’s knee replacement surgery. His wife will drive him home after surgery, and their daughter will arrive from out of state the next day to help at home while he…

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By: Leslie Flowers
August 22, 2017
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ACS NSQIP develops pediatric surgical risk calculator

Editor's Note The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) has developed a pediatric surgical risk calculator based on 181,353 cases covering 382 CPT codes across all specialties. It was found to have excellent discrimination for mortality, morbidity, and seven additional complications. The calculator can be…

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By: Judy Mathias
October 4, 2016
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AHRQ toolkit helps healthcare providers respond to patient harm

Editor's Note The Agency for Healthcare Research and Quality (AHRQ) on May 23 released a new online toolkit to help healthcare organizations and providers respond when a patient is harmed. The toolkit is based on the Communication and Optimal Resolution (CANDOR) process, which is a patient-centered approach that emphasizes early…

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By: Judy Mathias
May 26, 2016
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Reaching New Heights with Advanced Business Management Concepts for the Veteran Manager

After this session you’ll be able to: 1. Discuss the benefits of strategic planning and how it differs by environment. 2. List 3 enhancements that take traditional value analysis further in impact on surgical margin. 3. Develop a business plan for a new program. Why this is important: The perioperative…

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Factors linked to in-hospital mortality after AAA repair

Editor's Note In this study, patient factors, hospital case volume, and practice patterns were found to be associated with in-hospital mortality after elective abdominal aortic aneurysm (AAA) repair. Of 166, 443 AAA repairs performed at 1,207 hospitals, in-hospital mortality was 0.7% for endovascular AAA repair and 3.8% for open AAA…

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By: Judy Mathias
May 24, 2016
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Study: ACS NSQIP Surgical Risk Calculator accurately estimates surgical risk

Editor's Note The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) Surgical Risk Calculator accurately estimates the risk of postoperative complications, and the calculator’s performance would improve with recalibration, this study finds. The statistical analysis for this study was based on 2.7 million surgical records collected between…

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By: Judy Mathias
May 20, 2016
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FDA: Class I recall of G5 Ventilators by Hamilton

Editor's Note The Food and Drug Administration on November 13 identified the recall of Hamilton G5 Ventilators V2.00 and V2.31 as Class I, the most serious. The ventilator may stop working, without sounding an alarm, when the oxygen enrichment key is pressed to attach the mask to the patient. If…

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By: Judy Mathias
November 17, 2015
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Editorial asks if surveillance cameras in ASCs are a good idea

Editor's Note A proposed law would require ASCs and hospitals to install surveillance cameras in their ORs. Whether they are a good idea or not depends on why they are there, according to an editorial in Outpatient Surgery Magazine. If they are intended to enhance performance and find out why…

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By: OR Manager
August 21, 2015
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Surgical resident work hours reform does not improve patient safety

Editor's Note Work-hour restrictions for surgical resident, revised nationally 4 years ago to protect patients against fatigue-related errors, have not had the desired effect of lowering postoperative complication rates, according to this new study. Researchers from the American College of Surgeons found no significant difference in surgical outcomes between 1…

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By: OR Manager
July 8, 2015
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New Manager Bootcamp: Making the Transition into Management by Mastering Human Resources

The first step into management is a doozy…not only do you have increased responsibility reporting to a committee, but you are also now responsible for the group and individual successes of a team, many of whom were your peers not too long ago. You must first learn to distinguish yourself…

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