Safety/Quality

Latest Issue of OR Manager
December 2017
Home Safety/Quality

Joint Commission: More accredited hospitals submitting eCQM data

Editor's Note Despite the expansion of requirements for electronic clinical quality measure (eCQM) reporting to the Centers for Medicare & Medicaid Services, an increased number of Joint Commission accredited hospitals are adopting and reporting eCQMs to drive quality improvement, the Joint Commission reports.  In 2016, 470 accredited hospitals submitted eCQM…

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By: Judy Mathias
November 13, 2017
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Perioperative Nurse Week is November 12 to 18

  Editor's Note Every year, Perioperative Nurse Week focuses attention on the work of more than 160,000 nurses who advocate for surgical patients. During the week, perioperative nurses are honored by colleagues and communities to highlight the ways in which nurses are working to improve patient safety−before, during, and after…

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By: Judy Mathias
November 13, 2017
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Medicare readmission reduction program linked to increased mortality rates

Editor's Note The Centers for Medicare & Medicaid Services (CMS) Hospital Readmissions Reduction Program has had the unintended consequence of increased short- and long-term mortality in heart failure patients, this study finds. Five years ago, as part of the Affordable Care Act, federal policy makers introduced the Hospital Readmission Reduction…

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By: Judy Mathias
November 13, 2017
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Nurse-run telephone triage service for after-hour calls by neurosurgery patients

Editor's Note Clinical Advice Service (CAS), a nurse-run telephone triage service for after-hour calls, developed at the Stanford University School of Medicine, provides well-coordinated care to neurosurgery patients while reducing physician workload, this study finds. Between July 2016 and June 2017, CAS nurses received 1,021 after-hours calls from neurosurgery patients.…

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By: Judy Mathias
November 10, 2017
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Joint Commission updates Patient Blood Management standards

Editor's Note The Joint Commission on November 8 announced the update of its Patient Blood Management standards to align with AABB standards. Among the changes: educational requirements for those who order and/or transfuse blood defined guidelines on transfusion orders procedures for emergent/urgent patients, including massive blood loss intraoperative methods for…

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By: Judy Mathias
November 10, 2017
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FDA clears new, faster CBC test

Editor's Note The Food and Drug Administration (FDA) on November 6 cleared a new complete blood cell count (CBC) test that can be run in more healthcare settings and offers faster results for patients and providers. The FDA granted premarket clearance and a Clinical Laboratory Improvement Amendments of 1988 (CLIA)…

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By: Judy Mathias
November 10, 2017
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Study: Overlapping surgery is safe

Editor's Note Overlapping surgery can be safely performed without risking patient safety, this study from Emory University Hospital finds. Of 2,275 neurosurgical cases included in the analysis, 1,303 were overlapping and 972 were nonoverlapping. The researchers found no difference between overlapping and nonoverlapping neurosurgical procedures in terms of 90-day postoperative…

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By: Judy Mathias
November 8, 2017
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FDA: Safety Alert for Cardinal Health’s Infant/Child Reduced Energy Defibrillation Electrodes

Editor's Note The Food and Drug Administration (FDA) on November 6 issued a Safety Alert saying that Physio-Control (Redmond, Washington) launched a voluntary field action for specific lots of Infant/Child Reduced Energy Defibrillation Electrodes manufactured by Cardinal Health (Dublin, Ohio). There is an issue with the artwork on the electrodes…

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By: Judy Mathias
November 8, 2017
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Interventions increase reporting of adverse events by pediatric anesthesiologists

Editor's Note Electronic mandatory incident reporting system data entry and an initiative to understand and address reporting barriers and motivators were associated with sustained increases in adverse event reporting by pediatric anesthesiologists, in this study. Of 72,384 pediatric anesthetics analyzed, there were 2,689 adverse events. A subgroup of 54,469 cases…

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By: Judy Mathias
November 7, 2017
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Preop cognitive screening predicts postop complications in older total joint patients

Editor's Note Poor preoperative cognition, as assessed by preoperative Mini-Cog screening, is prevalent among older total joint patients and predictive of adverse outcomes, including postoperative delirium, longer hospital stay, and greater likelihood of discharge to a place other than home, this study finds. Of 211 patients 65 years of age…

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By: Judy Mathias
November 7, 2017
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