Safety/Quality

Latest Issue of OR Manager
April 2024
Home Safety/Quality

Forced-air device outperforms standard endoscope drying practices, study shows

Editor's Note Authors of a recent study evaluating the effectiveness of a forced-air drying system for endoscopes argue that the results reinforce the need to re-evaluate standard drying practices. Findings were published February 24 in the American Journal of Infection Control. Wet environments resulting from inadequate drying practices can result…

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By: Matt Danford
March 25, 2024
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Study: Propofol sedation increases colonoscopy costs without improving outcomes

Editor's Note Although the use of propofol for colonoscopy has been rising due to beliefs that deep sedation leads to greater patient comfort, a recent systematic review and meta-analysis of nearly 1,500 patients form nine randomized controlled trials shows this view is not supported by available evidence. Published March 8…

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By: Matt Danford
March 25, 2024
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Two-question survey could help improve pain management, reduce opioid use

Editor's Note A simple, two-question survey could help identify patients most likely to develop chronic pain during recovery from surgery or injury and direct them toward proactive, holistic services that reduce reliance on opioids. NEJM Catalyst published the findings on March 20. Conducted by a research team from Duke University,…

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By: Brita Belli
March 22, 2024
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Study: Weight loss drugs could increase risk of surgical complications

Editor's Note Popular weight-loss drugs like Ozempic and Mounjaro could lead to complications in surgical procedures, according to study published March 6 in the journal JAMA Surgery.  The study focused on drugs known as glucagon-like peptide-1 receptor agonists (GLP-1 RAs) which are used to treat diabetes and obesity. The drugs, which…

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By: Brita Belli
March 22, 2024
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Safe postop patient recovery: A day in the PACU leader role

Critical assessment and rapid response are essentials skills for perioperative staff members, and that goes double for perioperative leadership. Patient-centered leadership is a must. Like the OR, the postanesthesia care unit (PACU, formerly referred to as the “recovery room”) is a critical care area plagued by an influx of new…

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By: Tarsilla Moura
March 22, 2024
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Surgical scrub evolution and the future of smart medical attire

For surgeons and other medical professionals, what to wear to work is more than just an afterthought. Over the decades, surgical scrubs have undergone a significant transformation, evolving from simple, functional garments to sophisticated attire that prioritizes both comfort and infection control. They are not merely clothing but a vital…

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By: Steven John Cumper, B.App.Sc. (Osteo), M.Ost.
March 22, 2024
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How gamification improves OR training, outcomes

Takeaways From mobile phone apps to immersive virtual reality surgery experiences, digital tools make healthcare training more interactive, more engaging, and more fun for everyone from nurses to surgeons. Modern procedures—including minimally invasive techniques and robotic surgery—require 50 to 100 cases for a surgeon to reach a safe proficiency level…

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By: Brita Belli
March 22, 2024
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How data puts the ‘value’ in value-based care

What if a surgeon decided to perform a procedure on a patient that was not totally necessary? It happens more often that one might realize. As recently as August 2023, Forbes published an article that cited a Harvard Business Review report stating that over 50% of lumbar spine surgeries are…

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By: David Cotriss
March 22, 2024
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Procedural sedation analgesia considerations for ASC leaders

The promise of quicker recovery and fewer complications from sedation, anesthesia, and pain management have drawn clinicians and patients alike to procedures performed in ambulatory surgery centers (ASCs) and other outpatient settings. However, sedation, anesthesia, and analgesia add their own risks to those of the procedure itself. Understanding the latest…

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By: Uyen Vo, BSN, MBA
March 22, 2024
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Study data supports less radical cervical cancer surgery alternative

Editor's Note New research supports fertility preservation with cone biopsy as a viable, less radical option for to surgery in patients with early, low-risk cervical cancer, according to a report published March 18 in MedPage Today. Presented at the Society of Gynecologic Oncology annual meeting, the findings from the Gynecologic…

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By: Matt Danford
March 21, 2024
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