Patient Safety

Latest Issue of OR Manager
February 2018
Home Safety/Quality > Patient Safety

Patient preference for surgery, antibiotics to treat appendicitis

Editor's Note In this survey, most respondents chose surgical rather than nonsurgical treatment for acute appendicitis. Of 1,728 respondents, 85.8% chose laparoscopic appendectomy, 4.9% chose open appendectomy, and 9.4% chose antibiotics alone as treatments for themselves. For their child, 79.4% chose laparoscopic appendectomy, 6.1% chose open appendectomy, and 14.5% chose…

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By: Judy Mathias
January 16, 2018
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CMS proposes coverage change for MRI with implanted cardiac devices

Editor's Note The Centers for Medicare & Medicaid Services on January 11 issued a proposal to modify its national coverage determination for magnetic resonance imaging (MRI) to include patients who have implanted cardiac devices. Proposed changes include the expansion of coverage for patients with cardiac devices that are approved or…

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By: Judy Mathias
January 16, 2018
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Education brochure helps surgical patients improve opioid disposal

Editor's Note Dissemination of low-cost patient education brochures improved disposal of unused opioids after surgery, this study finds. The study involved 334 patients−164 who did not receive the brochure and 170 who did receive it. Patients who received the brochure informing them of appropriate methods for disposal were twice as…

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By: Judy Mathias
January 12, 2018
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CDC updates data on HAIs

Editor's Note The Centers for Disease Control and Prevention (CDC) on January 5 updated its data on healthcare-associated infections (HAIs). Central line-associated bloodstream infections (CLABSIs) have dropped 50% since 2008. Catheter-associated urinary tract infections (CAUTIs) have had consistent year-to-year decreases, especially since those caused by yeast were deleted from the…

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By: Judy Mathias
January 12, 2018
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FDA: Class I recall of Certitude Delivery System

Editor's Note The Food and Drug Administration (FDA) on January 11 classified the recall by Edwards LifeSciences (Irvine, California) of its Certitude Delivery System as Class I, the most serious. The system is used for delivery of the Edwards SAPIEN 3 transcatheter aortic heart valve. The recall was issued because…

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By: Judy Mathias
January 12, 2018
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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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AHRQ: New toolkit for ambulatory care transitions

Editor's Note The Agency for Healthcare Research and Quality (AHRQ) on January 9 announced a new “Safe Transitions Toolkit” for clinical staff working in ambulatory care settings. The toolkit is designed to help staff actively engage patients and their care partners to prevent errors during care transitions. The toolkit includes…

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By: Judy Mathias
January 10, 2018
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Intraop handover of anesthesia care linked to adverse outcomes

Editor's Note Complete handover of intraoperative anesthesia care was significantly linked to adverse postoperative outcomes in this Canadian study. In this analysis of 313,066 adult patients having major surgery, complete intraoperative handover of anesthesia care, compared with no handover, was significantly associated with a higher risk of a composite of…

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By: Judy Mathias
January 10, 2018
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Joint Commission: New requirement for maternal status assessment and documentation

Editor's Note The Joint Commission on January 10 announced that three new requirements for maternal status assessment and documentation will become effective July 1, 2018, for accredited hospitals and critical access hospitals that offer obstetric services, specifically labor and delivery. The new requirements were designed to: Document or assess the…

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By: Judy Mathias
January 10, 2018
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Night shift work increases risk of cancers in women

Editor's Note This meta-analysis of 61 articles (involving 3,909,152 patients) finds a positive relationship between long-term night shift work and several common cancers in women, including breast, digestive system, and skin cancers. A subgroup analysis found that for every 5 years of night shift work, the risk of breast cancer…

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By: Judy Mathias
January 9, 2018
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FDA Commissioner updates drug shortage efforts in Puerto Rico

Editor's Note Food and Drug Administration (FDA) Commissioner Scott Gottlieb, MD, on January 4 issued a statement, updating the continued efforts to mitigate the IV saline and amino acids for injection shortages caused by Hurricane Maria. The FDA expects the IV saline shortage to improve in early 2018. Just before…

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By: Judy Mathias
January 9, 2018
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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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