Patient Safety

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

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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Effect of standardized handoff on improved clinician preparedness in the ICU

Editor's Note The UW [University of Washington]-IPASS standardized handoff curriculum improves provider preparedness and workflow in the ICU, this study finds. The intent of UW-IPASS is to standardized and improve clinician handoffs through the use of a mnemonic and electronic medical record tool that ensures communication of essential information. UW-IPASS…

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By: Judy Mathias
January 8, 2018
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Interdisciplinary program improves outcomes for older surgical patients

Editor's Note In this study, an interdisciplinary program that includes a coordinated approach by healthcare professionals in surgery, geriatrics, and anesthesiology was associated with improved postoperative outcomes for high-risk older patients having elective abdominal surgery. Compared with a control group (143 patients), older patients participating in the Perioperative Optimization of…

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By: Judy Mathias
January 5, 2018
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Patient Safety in the OR - Fourth Edition

Patient safety continues to be a hot issue in the OR and of paramount concern to all those involved in the management and operation of the surgical suite. In this fourth edition of Patient Safety in the OR, perioperative directors, OR administrators, managers, and their staff will find the information…

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FDA: PharMEDium recalls 55 lots of compounded sterile drugs

Editor's Note The Food and Drug Administration on January 2 announced the recall by PharMEDium Services (Lake Forest, Illinois) of 55 lots (impacting 25,327 units) of compounded sterile drug products because of a lack of sterility assurance. The recalled products were manufactured in PharMEDium’s Memphis location and distributed nationwide to…

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By: Judy Mathias
January 5, 2018
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FDA: AuroMedics recalls Ampicillin and Sulbactam for Injection

Editor's Note The Food and Drug Administration (FDA) on January 4 announced the recall by AuroMedics Pharma LLC (Windsor, New Jersey) of one lot of Ampicillin and Sulbactam for Injection USP 1.5 g in a single-dose vial. The recall was issued because the lot (Lot AFOI 17001-A, Expiry date December…

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By: Judy Mathias
January 4, 2018
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FDA: Class I recall of Agilis Steerable Reprocessed Introducer Sheath

Editor's Note The Food and Drug Administration (FDA) on January 2 classified the recall by Sterilmed (Plymouth, Minnesota) of its Agilis Steerable Reprocessed Introducer Sheath as Class I, the most serious. The sheath's hemostatic valve, which prevents blood from flowing back through the valve, may fail because of an improper…

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By: Judy Mathias
January 3, 2018
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Joint Commission new and revised standards effective January 2018

Editor's Note The Joint Commission on December 20, 2017, posted new and revised standards that go into effect in January 2018. Included are: Life Safety Code revisions that address topics such as testing of emergency lighting systems and inspection and testing of piped medical gas and vacuum systems. Medication Management…

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By: Judy Mathias
January 2, 2018
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Wearing long sleeves to prep decreases airborne contaminants

Editor's Note Wearing long sleeves with gloves while prepping a patient in the OR decreased large-particle and microbial shedding compared with prepping with bare arms, in this study. A mock patient skin prep was performed in 3 different ORs. A long-sleeved gown and gloves or bare arms were used to…

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By: Judy Mathias
December 12, 2017
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Electronic Distractions in the Perioperative Area and Patient Safety

Social media, texting, i messaging, you tube, twitter, face book, games; personal calls are distracting in the perioperative areas. Mobile devices like cell phones and tablets have allowed constant non-patient centered communication into the PACU, OR, Pre-op and Post–op units resulting in a management challenge. In a recent OR Manager…

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