Safety/Quality

Latest Issue of OR Manager
December 2017
Home Safety/Quality

Preop antibiotics significantly lower SSI risk in left colorectal surgery

Editor's Note Adding oral antibiotics to mechanical bowel preparation for left colorectal cancer surgery significantly lowered the rate of surgical site infections (SSIs), but the effect was marginal in right-colon resections, this study finds. For 89 patients having left colorectal resections, the rate of SSIs was 27% with mechanical bowel…

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By: Judy Mathias
October 23, 2017
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FDA updates Safety Alert for St Jude defibrillators

Editor's Note The Food and Drug Administration (FDA) on October 19 issued an updated Safety Alert for implantable cardioverter defibrillators and cardiac resynchronization therapy defibrillators by St Jude Medical. Because batteries for the devices may fail earlier than expected, St Jude has made available a new battery performance management tool,…

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By: Judy Mathias
October 23, 2017
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Penicillin allergy linked to SSI risk

  Editor's Note In this study from the Massachusetts General Hospital, Boston, patients with penicillin allergies had a 50% increased odds of developing surgical site infections (SSIs), which the researchers attributed to the second-line antibiotics administered to them.  A total of 8,385 patients who had surgery between 2010 and 2014…

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By: Judy Mathias
October 19, 2017
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ACS NSQIP recognizes 66 hospitals for meritorious outcomes

  Editor's Note The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) on October 18 recognized 66 of 680 hospitals participating in the adult program for achieving meritorious outcomes for surgical patient care in 2016. ACS NSQIP hospitals are required to track outcomes for inpatient and outpatient…

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By: Judy Mathias
October 19, 2017
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Effect of hospital-wide measure of readmissions for HRRP

Editor's Note Changing to a hospital-wide measure of readmissions for the Hospital Readmissions Reduction Program (HRRP) would result in only 76 more hospitals being eligible to receive penalties, but it would substantially increase the penalties for safety-net hospitals, this study finds. For the analysis, researchers used Medicare claims from 2011…

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By: Judy Mathias
October 19, 2017
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Survey finds nearly three-quarters of physicians prefer fee-for-service models

Editor's Note A survey of 980 physicians in eight specialties by New York City-based Bain and Company found that 73% prefer fee-for-service rather than value-based care models because of concerns about the complexity and quality of care associated with value-based models, the October 12 Healthcare Informatics reports. More than 60%…

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By: Judy Mathias
October 19, 2017
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CMUNRO SCALE created to facilitate risk assessment for pressure injuries

In 2016, after 10 years of research and validation, Cassendra Munro’s Pressure Ulcer Risk Assessment Scale for Perioperative Patients (Munro Scale) was made available for use in the perioperative setting and was added to the AORN Prevention of Pressure Ulcers Tool Kit. The Munro Scale assesses a patient’s risk level…

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By: Judith M. Mathias, MA, RN
October 19, 2017
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Improved communication tools put PACU visitors at ease

About 8 years ago, Maine Medical Center (MMC) in Portland had a policy that required visitors to wait in the surgery waiting room at least 3 hours before being allowed to visit their loved ones. The postanesthesia care unit (PACU) nurse was not expected to communicate with the family while…

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By: OR Manager
October 19, 2017
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Walk the talk: Words matter when it comes to patient safety

Every week Ann Shimek, MSN, BSN, RN, CASC, hits the road to communicate about communicating. Shimek is senior vice president of clinical operations at United Surgical Partners International (USPI) in Addison, Texas. She and her team of six clinical nurses travel among USPI’s 21 hospitals and 260 ambulatory surgery centers…

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By: Leslie Flowers
October 19, 2017
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ACS NSQIP pilot identifies geriatric–specific risk factors that affect surgical outcomes

Editor's Note A new pilot study from the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) finds that adding geriatric-specific risk factors to traditional risk factors could significantly improve the ability of surgeons to predict poor surgical outcomes in older patients. The study involved 36,399 older surgical…

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By: Judy Mathias
October 18, 2017
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