Patient Safety

Latest Issue of OR Manager
October 2017
Home Safety/Quality > Patient Safety

Safety of transoral endoscopic thyroidectomy

Editor's Note The transoral endoscopic thyroidectomy vestibular approach can be safe for select patients, with outcomes similar to those of the open approach, this study finds. Of 425 patients analyzed, the operative time for the transoral approach was longer than the open approach (100.8 vs 79.4 minutes) but transoral patients…

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By: Judy Mathias
September 11, 2017
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FDA: Class I recall of Datascope/MAQUET intra-aortic balloon pumps

Editor's Note The Food and Drug Administration (FDA) on September 6 categorized the recall by Datascope/MAQUET of its CS100i, CS100, and CS300 intra-aortic balloon pumps as Class I, the most serious. The recall was initiated because of a false blood detection alarm and ingress of fluid into the balloon pump.…

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By: Judy Mathias
September 11, 2017
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Preadmission frailty predicts adverse outcomes in geriatric trauma patients

Editor's Note In this study, preadmission clinical frailty independently predicted adverse discharge destination (ie, death or discharge to a long-term, chronic or acute care facility) in geriatric trauma patients. The analysis of 266 trauma patients 65 years and older using the Clinical Frailty Scale (CFS) and the laboratory Frailty Index…

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By: Judy Mathias
September 11, 2017
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FDA: Genetech recalls three lots of Activase

Editor's Note The Food and Drug Administration (FDA) on September 7 announced the recall by Genetech (South San Francisco, California) of three lots of Activase (alteplase) 100 mg vials that were co-packaged with sterile water for injection. The vials of water, manufactured by Hospira Inc (Lake Forest, Illinois), may be…

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By: Judy Mathias
September 11, 2017
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FDA: Recall of Hydromorphone HCL and Levophed Injection by Hospira

Editor's Note The Food and Drug Administration (FDA) on September 5 announced the recall by Hospira Inc (Lake Forest, Illinois) of one lot of Hydromorphone HCL injection, USP, CII 2 mg/mL and four lots of Levophed (norepinephrine bitartrate) injection because of a lack of sterility assurance resulting from a damaged…

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By: Judy Mathias
September 6, 2017
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Retained Surgical Items: A Patient Safety Issue - On Demand

Time: One hourCEs: 1 Contact Hour Retained Surgical Items: A Patient Safety Issue The risk of having a retained surgical item (RSI) exists for any individual undergoing a surgical procedure. Any RSI incidence is considered a never event and can be prevented with safe practices. Patient harm and mortality, along…

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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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FDA issues alert for alcohol pads, benzalkonium chloride antiseptic towelettes by Foshan Flying Medical Products

Editor's Note The Food and Drug Administration (FDA) on September 1 issued a Safety Alert notifying healthcare professionals and patients not to use alcohol pads or benzalkonium chloride antiseptic towelettes made by Foshan Flying Medical Products Co Ltd (China) because of lack of sterility and other quality issues. Use of…

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By: Judy Mathias
September 6, 2017
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California county goes surgery shopping

Editor's Note California's Santa Barbara County and other government employers are joining private employers in shopping for lower-cost bundled surgical care, even if it means going out of town, the September 1 Kaiser Health News reports. The voluntary program that includes incentives such as waived copays and deductibles as well…

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By: Judy Mathias
September 5, 2017
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FDA: Hospira recalls one lot of vancomycin hydrochloride

Editor's Note The Food and Drug Administration (FDA) on August 31 announced the recall by Hospira Inc (Lake Forest, Illinois) of one lot of vancomycin hydrochloride for injection, USP, 750 mg/vial (NDC 0409-6531-02) lot 632153A. The recall was initiated because of a customer report of the presence of particulate matter,…

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By: Judy Mathias
September 5, 2017
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Effect of mandatory reporting system on prevalence of intraop adverse events

Editor's Note After implementation of an anesthesia information management system (AIMS)-based mandatory quality assurance process for reporting of intraoperative adverse events at two academic medical centers, documented adverse events decreased significantly, this study finds. Over a 2-year period after implementation of mandatory reporting, the adverse event rate at Thomas Jefferson…

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By: Judy Mathias
September 1, 2017
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Innovations in Reducing Surgical Site Infections: A Better Path to Patient Safety On-Demand Webinar

Date: Thursday, July 24Time: 2:00 p.m. – 3:00 p.m. CEs: 1 Contact Hour Innovations in Reducing Surgical Site Infections: A Better Path to Patient Safety In 2015, Medicare’s penalty for hospital-acquired conditions such as surgical site infections will go into effect, putting hospitals at greater financial risk and making it…

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