Safety/Quality

Latest Issue of OR Manager
March 2018
Home Safety/Quality

FDA: Baxter recalls another lot of injectable amiodarone

  Editor's Note The Food & Drug Administration (FDA) on January 23 announced the expansion by Baxter (Deerfield, Illinois) of its recall of Nexterone (amiodarone HCL) 150 mg/100 mL premixed injection to include a second lot (NC 109123). Lot NC 109925 was recalled in November 2017. The recall was initiated…

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By: Judy Mathias
January 24, 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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New clinical practice guidelines address anticoagulation during cardiopulmonary bypass

Editor's Note The Society of Thoracic Surgeons, Society of Cardiovascular Anesthesiologists, and the American Society of ExtraCorporeal Technology on January 19 announced the release of new clinical practice guidelines on the use of anticoagulants during cardiopulmonary bypass (CPB). Among the guideline recommendations are: optimal heparin dosing for initiation and maintenance…

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By: Judy Mathias
January 23, 2018
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New ECRI Institute resource provides solutions for IV-minibag shortage

Editor's Note The ECRI Institute on January 19 announced the release of a special Health Devices guidance article featuring recommendations and alternative solutions for dealing with the IV-fluid minibag (50-250 mL) shortage that resulted form Hurricane Maria in Puerto Rico. The guidance provides a functional equivalence chart for IV solution…

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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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SHEA issues new guidance on contact precautions

Editor's Note The Society for Healthcare Epidemiology of America (SHEA) on January 11 released new expert guidance on contact precautions for patients with multidrug-resistant bacterial infections. The guidance advises hospitals on when they can safely discontinue contact precautions, including use of gowns, gloves, and masks. In most cases, this ranges…

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By: Judy Mathias
January 19, 2018
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Factors linked to outcomes, costs after pediatric lap chole

Editor's Note Surgeon volume of adult general surgical procedures was significantly associated with lower morbidity and costs after pediatric laparoscopic cholecystectomy in this study. Of 3,519 laparoscopic cholecystectomies performed in pediatric patients, the overall morbidity rate was 3.9%. High-volume general surgeons had an odds of all-cause morbidity that was 68%…

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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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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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New OR nurses excel as champions and preceptors

Tapping incoming or newly graduated OR nurses as champions and preceptors for initiatives works quite well, say some OR leaders. Though less experienced than their peers, these nurses bring to the table up-to-date knowledge, energy, a fresh set of eyes, and comfort with new technology. In turn, making them experts…

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By: Susan London
January 19, 2018
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